|
The Journal of Bone and Joint Surgery, Vol 60, Issue 1 1-16, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
The Bankart procedure: a long-term end-result study
CR Rowe, D Patel and WW Southmayd
Of 161 patients with 162 shoulders operated on during a thirty-year period
(1946 to 1976), 124 were re-examined and twenty-one answered a
questionnaire. The lesions found at surgery were separation of the capsule
from the anterior glenoid rim in 85 per cent, a Hill-Sachs lesion of the
humeral head in 77 per cent, and damage to the anterior glenoid rim
(including fracture) in 73 per cent. There were five recurrences (3.5 per
cent) after repair by the method described in the 145 shoulders that were
followed. Only one of the forty-six patients with dislocation on the
dominant side and one of the thirty-one with dislocation on the
non-dominant side failed to return to the competitive athletic activities
in which they participated prior to injury. The results at follow-up were
rated excellent in 74 per cent, good in 23 per cent, and poor in 3 per
cent. Ninety-eight per cent of the patients rated their result as excellent
or good. Sixty-nine per cent of the shoulders had a full range of motion,
and only 2 per cent of these shoulders redislocated. A fracture of the rim
of the glenoid did not increase the risk of recurrence, while a moderate to
severe Hill-Sachs lesion increased the risk only slightly. We concluded
that with the meticulous technique of the Bankart repair as described,
postoperative immobilization is not necessary, early return of motion and
function can be expected, and resumption of athletic activities with no
limitation of shoulder motion is possible for most patients.

CiteULike Connotea Del.icio.us Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
A. D. Mazzocca, M. P. Cote, C. L. Arciero, A. A. Romeo, and R. A. Arciero
Clinical Outcomes After Subpectoral Biceps Tenodesis With an Interference Screw
Am. J. Sports Med.,
October 1, 2008;
36(10):
1922 - 1929.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. J. Pagnani
Open Capsular Repair Without Bone Block for Recurrent Anterior Shoulder Instability in Patients With and Without Bony Defects of the Glenoid and/or Humeral Head
Am. J. Sports Med.,
September 1, 2008;
36(9):
1805 - 1812.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. F. Griffith, G. E. Antonio, P. S. H. Yung, E. M. C. Wong, A. B. Yu, A. T. Ahuja, and K. M. Chan
Prevalence, Pattern, and Spectrum of Glenoid Bone Loss in Anterior Shoulder Dislocation: CT Analysis of 218 Patients
Am. J. Roentgenol.,
May 1, 2008;
190(5):
1247 - 1254.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Auffarth, J. Schauer, N. Matis, B. Kofler, W. Hitzl, and H. Resch
The J-Bone Graft for Anatomical Glenoid Reconstruction in Recurrent Posttraumatic Anterior Shoulder Dislocation
Am. J. Sports Med.,
April 1, 2008;
36(4):
638 - 647.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. P. Schroder, O. Skare, M. Stiris, E. Gjengedal, G. Uppheim, and J. I. Brox
Treatment of Labral Tears with Associated Spinoglenoid Cysts without Cyst Decompression
J. Bone Joint Surg. Am.,
March 1, 2008;
90(3):
523 - 530.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Porcellini, P. Paladini, F. Campi, and M. Paganelli
Long-term Outcome of Acute Versus Chronic Bony Bankart Lesions Managed Arthroscopically
Am. J. Sports Med.,
December 1, 2007;
35(12):
2067 - 2072.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Itoi, Y. Hatakeyama, T. Sato, T. Kido, H. Minagawa, N. Yamamoto, I. Wakabayashi, and K. Nozaka
Immobilization in External Rotation After Shoulder Dislocation Reduces the Risk of Recurrence. A Randomized Controlled Trial
J. Bone Joint Surg. Am.,
October 1, 2007;
89(10):
2124 - 2131.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. S. Mologne, M. T. Provencher, K. A. Menzel, T. A. Vachon, and C. B. Dewing
Arthroscopic Stabilization in Patients With an Inverted Pear Glenoid: Results in Patients With Bone Loss of the Anterior Glenoid
Am. J. Sports Med.,
August 1, 2007;
35(8):
1276 - 1283.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Kartus, J. Kartus, N. Matis, R. Forstner, and H. Resch
Long-Term Independent Evaluation After Arthroscopic Extra-Articular Bankart Repair with Absorbable Tacks. A Clinical and Radiographic Study with a Seven to Ten-Year Follow-up
J. Bone Joint Surg. Am.,
July 1, 2007;
89(7):
1442 - 1448.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. E. Voos, A. D. Pearle, C. J. Mattern, F. A. Cordasco, A. A. Allen, and R. F. Warren
Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair
Am. J. Sports Med.,
July 1, 2007;
35(7):
1174 - 1179.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. J. Sisto
Revision of Failed Arthroscopic Bankart Repairs
Am. J. Sports Med.,
April 1, 2007;
35(4):
537 - 541.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. R. Lenters, A. K. Franta, F. M. Wolf, S. S. Leopold, and F. A. Matsen III
Arthroscopic Compared with Open Repairs for Recurrent Anterior Shoulder Instability. A Systematic Review and Meta-Analysis of the Literature
J. Bone Joint Surg. Am.,
February 1, 2007;
89(2):
244 - 254.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Marquardt, K.-A. Witt, C. Gotze, D. Liem, J. Steinbeck, and W. Potzl
Long-term Results of Arthroscopic Bankart Repair With a Bioabsorbable Tack
Am. J. Sports Med.,
December 1, 2006;
34(12):
1906 - 1910.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. C. R. Bottoni, M. E. L. Smith, M. M. J. Berkowitz, C. R. B. Towle, and C. J. H. Moore
Arthroscopic Versus Open Shoulder Stabilization for Recurrent Anterior Instability: A Prospective Randomized Clinical Trial
Am. J. Sports Med.,
November 1, 2006;
34(11):
1730 - 1737.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Marquardt, C. Hurschler, J. Schneppendahl, K.-A. Witt, W. Potzl, and J. Steinbeck
Quantitative Assessment of Glenohumeral Translation After Anterior Shoulder Dislocation and Subsequent Arthroscopic Bankart Repair
Am. J. Sports Med.,
November 1, 2006;
34(11):
1756 - 1762.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Boileau, M. Villalba, J.-Y. Hery, F. Balg, P. Ahrens, and L. Neyton
Risk Factors for Recurrence of Shoulder Instability After Arthroscopic Bankart Repair
J. Bone Joint Surg. Am.,
August 1, 2006;
88(8):
1755 - 1763.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Y. G. Rhee, J. H. Ha, and N. S. Cho
Anterior Shoulder Stabilization in Collision Athletes: Arthroscopic Versus Open Bankart Repair
Am. J. Sports Med.,
June 1, 2006;
34(6):
979 - 985.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. D. T. Schroder, L. M. T. Provencher, C. T. S. Mologne, C. M. P. Muldoon, and C. J. S. Cox
The Modified Bristow Procedure for Anterior Shoulder Instability: 26-Year Outcomes in Naval Academy Midshipmen
Am. J. Sports Med.,
May 1, 2006;
34(5):
778 - 786.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. J. P. Warner, T. J. Gill, J. D. O'Hollerhan, N. Pathare, and P. J. Millett
Anatomical Glenoid Reconstruction for Recurrent Anterior Glenohumeral Instability With Glenoid Deficiency Using an Autogenous Tricortical Iliac Crest Bone Graft
Am. J. Sports Med.,
February 1, 2006;
34(2):
205 - 212.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. Su and W. N. Levine
Arthroscopic Bankart Repair
J. Am. Acad. Ortho. Surg.,
November 1, 2005;
13(7):
487 - 490.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. A. Sachs, B. Williams, M. L. Stone, L. Paxton, and M. Kuney
Open Bankart Repair: Correlation of Results With Postoperative Subscapularis Function
Am. J. Sports Med.,
October 1, 2005;
33(10):
1458 - 1462.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W. H. Montgomery Jr., M. Wahl, C. Hettrich, E. Itoi, S. B. Lippitt, and F. A. Matsen III
Anteroinferior Bone-Grafting Can Restore Stability in Osseous Glenoid Defects
J. Bone Joint Surg. Am.,
September 1, 2005;
87(9):
1972 - 1977.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Sugaya, J. Moriishi, I. Kanisawa, and A. Tsuchiya
Arthroscopic Osseous Bankart Repair for Chronic Recurrent Traumatic Anterior Glenohumeral Instability
J. Bone Joint Surg. Am.,
August 1, 2005;
87(8):
1752 - 1760.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Maynou, X. Cassagnaud, and H. Mestdagh
Function of subscapularis after surgical treatment for recurrent instability of the shoulder using a bone-block procedure
J Bone Joint Surg Br,
August 1, 2005;
87-B(8):
1096 - 1101.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. R. Bottoni, B. R. Franks, J. H. Moore, T. M. DeBerardino, D. C. Taylor, and R. A. Arciero
Operative Stabilization of Posterior Shoulder Instability
Am. J. Sports Med.,
July 1, 2005;
33(7):
996 - 1002.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. L. Chen, S. A. Hunt, R. J. Hawkins, and J. D. Zuckerman
Management of Bone Loss Associated With Recurrent Anterior Glenohumeral Instability
Am. J. Sports Med.,
June 1, 2005;
33(6):
912 - 925.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Saito, E. Itoi, H. Sugaya, H. Minagawa, N. Yamamoto, and Y. Tuoheti
Location of the Glenoid Defect in Shoulders With Recurrent Anterior Dislocation
Am. J. Sports Med.,
June 1, 2005;
33(6):
889 - 893.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Calvo, J. J. Granizo, and D. Fernandez-Yruegas
Criteria for arthroscopic treatment of anterior instability of the shoulder: A PROSPECTIVE STUDY
J Bone Joint Surg Br,
May 1, 2005;
87-B(5):
677 - 683.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Ide, S. Maeda, and K. Takagi
Sports Activity After Arthroscopic Superior Labral Repair Using Suture Anchors in Overhead-Throwing Athletes
Am. J. Sports Med.,
April 1, 2005;
33(4):
507 - 514.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. J. Millett, P. Clavert, and J. J.P. Warner
Open Operative Treatment for Anterior Shoulder Instability: When and Why?
J. Bone Joint Surg. Am.,
February 1, 2005;
87(2):
419 - 432.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Harvie, T. C. B. Pollard, R. J. Chennagiri, and A. J. Carr
The use of outcome scores in surgery of the shoulder
J Bone Joint Surg Br,
February 1, 2005;
87-B(2):
151 - 154.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. D. Mazzocca, F. M. Brown Jr, D. S. Carreira, J. Hayden, and A. A. Romeo
Arthroscopic Anterior Shoulder Stabilization of Collision and Contact Athletes
Am. J. Sports Med.,
January 1, 2005;
33(1):
52 - 60.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-H. Kim, J.-C. Park, J.-S. Park, and I. Oh
Painful Jerk Test: A Predictor of Success in Nonoperative Treatment of Posteroinferior Instability of the Shoulder
Am. J. Sports Med.,
December 1, 2004;
32(8):
1849 - 1855.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Ide, S. Maeda, and K. Takagi
Arthroscopic Bankart Repair Using Suture Anchors in Athletes: Patient Selection and Postoperative Sports Activity
Am. J. Sports Med.,
December 1, 2004;
32(8):
1899 - 1905.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. L. Carlson
The "J" Sign
Radiology,
September 1, 2004;
232(3):
725 - 726.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. B. Freedman, A. P. Smith, A. A. Romeo, B. J. Cole, and B. R. Bach Jr
Open Bankart Repair Versus Arthroscopic Repair With Transglenoid Sutures or Bioabsorbable Tacks for Recurrent Anterior Instability of the Shoulder: A Meta-analysis
Am. J. Sports Med.,
September 1, 2004;
32(6):
1520 - 1527.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S D M Bot, C B Terwee, D A W M van der Windt, L M Bouter, J Dekker, and H C W de Vet
Clinimetric evaluation of shoulder disability questionnaires: a systematic review of the literature
Ann Rheum Dis,
April 1, 2004;
63(4):
335 - 341.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-H. Kim, H.-K. Kim, J.-I. Sun, J.-S. Park, and I. Oh
Arthroscopic Capsulolabroplasty for Posteroinferior Multidirectional Instability of the Shoulder
Am. J. Sports Med.,
April 1, 2004;
32(3):
594 - 607.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Deitch, C. T. Mehlman, S. L. Foad, A. Obbehat, and M. Mallory
Traumatic Anterior Shoulder Dislocation in Adolescents
Am. J. Sports Med.,
September 1, 2003;
31(5):
758 - 763.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-H. Kim, K.-I. Ha, J.-H. Park, Y.-M. Kim, Y.-S. Lee, J.-Y. Lee, and J.-C. Yoo
Arthroscopic Posterior Labral Repair and Capsular Shift for Traumatic Unidirectional Recurrent Posterior Subluxation of the Shoulder
J. Bone Joint Surg. Am.,
August 1, 2003;
85(8):
1479 - 1487.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-H. Kim, K.-I. Ha, Y.-B. Cho, B.-D. Ryu, and I. Oh
Arthroscopic Anterior Stabilization of the Shoulder: Two to Six-Year Follow-up
J. Bone Joint Surg. Am.,
August 1, 2003;
85(8):
1511 - 1518.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
H. Sugaya, J. Moriishi, M. Dohi, Y. Kon, and A. Tsuchiya
Glenoid Rim Morphology in Recurrent Anterior Glenohumeral Instability
J. Bone Joint Surg. Am.,
May 1, 2003;
85(5):
878 - 884.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. S. Ahmad, M. Q. Freehill, T. A. Blaine, W. N. Levine, and L. U. Bigliani
Anteromedial Capsular Redundancy and Labral Deficiency in Shoulder Instability
Am. J. Sports Med.,
March 1, 2003;
31(2):
247 - 252.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Urayama, E. Itoi, R. Sashi, H. Minagawa, and K. Sato
Capsular Elongation in Shoulders with Recurrent Anterior Dislocation: Quantitative Assessment with Magnetic Resonance Arthrography
Am. J. Sports Med.,
January 1, 2003;
31(1):
64 - 67.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Itoi, S.-B. Lee, K. K. Amrami, D. E. Wenger, and K.-N. An
Quantitative Assessment of Classic Anteroinferior Bony Bankart Lesions by Radiography and Computed Tomography
Am. J. Sports Med.,
January 1, 2003;
31(1):
112 - 118.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. J. Gill and B. Zarins
Open Repairs for the Treatment of Anterior Shoulder Instability
Am. J. Sports Med.,
January 1, 2003;
31(1):
142 - 153.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. L. Andary and S. A. Petersen
The Vascular Anatomy of the Glenohumeral Capsule and Ligaments: An Anatomic Study
J. Bone Joint Surg. Am.,
December 9, 2002;
84(12):
2258 - 2265.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Magnusson, J. Kartus, L. Ejerhed, I. Hultenheim, N. Sernert, and J. Karlsson
Revisiting the Open Bankart Experience: A Four- to Nine-Year Follow-up
Am. J. Sports Med.,
November 1, 2002;
30(6):
778 - 782.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. J.P. Warner, A. A. Venegas, J. T. Lehtinen, and J. J. Macy
Management of Capsular Deficiency of the Shoulder : A Report of Three Cases
J. Bone Joint Surg. Am.,
September 3, 2002;
84(9):
1668 - 1671.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. G. McFarland, J. C. Caicedo, T. K. Kim, and P. Banchasuek
Prevention of Axillary Nerve Injury in Anterior Shoulder Reconstructions: Use of a Subscapularis Muscle-Splitting Technique and a Review of the Literature
Am. J. Sports Med.,
July 1, 2002;
30(4):
601 - 606.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. J. Pagnani and D. C. Dome
Surgical Treatment of Traumatic Anterior Shoulder Instability in American Football Players
J. Bone Joint Surg. Am.,
May 1, 2002;
84(5):
711 - 715.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. C. Schiffern, R. Rozencwaig, J. Antoniou, M. L. Richardson, and F. A. Matsen III
Anteroposterior Centering of the Humeral Head on the Glenoid In Vivo
Am. J. Sports Med.,
May 1, 2002;
30(3):
382 - 387.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. S. Kralinger, K. Golser, R. Wischatta, M. Wambacher, and G. Sperner
Predicting Recurrence after Primary Anterior Shoulder Dislocation
Am. J. Sports Med.,
January 1, 2002;
30(1):
116 - 120.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Karlsson, L. Magnusson, L. Ejerhed, I. Hultenheim, O. Lundin, and J. Kartus
Comparison of Open and Arthroscopic Stabilization for Recurrent Shoulder Dislocation in Patients with a Bankart Lesion
Am. J. Sports Med.,
September 1, 2001;
29(5):
538 - 542.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Itoi, W. Watanabe, S. Yamada, T. Shimizu, and I. Wakabayashi
Range of Motion after Bankart Repair: Vertical Compared with Horizontal Capsulotomy
Am. J. Sports Med.,
July 1, 2001;
29(4):
441 - 445.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W. N. Levine and E. L. Flatow
The Pathophysiology of Shoulder Instability
Am. J. Sports Med.,
November 1, 2000;
28(6):
910 - 917.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. S. Burkhart
A 26-Year-Old Woman With Shoulder Pain
JAMA,
September 27, 2000;
284(12):
1559 - 1567.
[Full Text]
[PDF]
![]() | |