This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cole, B. J.
Right arrow Articles by Warner, J. J. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cole, B. J.
Right arrow Articles by Warner, J. J. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery 82:1108 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Comparison of Arthroscopic and Open Anterior Shoulder Stabilization

A Two to Six-Year Follow-up Study*

Brian J. Cole, M.D.{dagger}, John L'Insalata, M.D.{ddagger}, Jay Irrgang, P.T., A.T.C.§ and Jon J. P. Warner, M.D.#

Investigation performed at the University of Pittsburgh, Pittsburgh, Pennsylvania
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
{dagger}Department of Orthopaedics, Sports Medicine Section, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, 1725 West Harrison, Suite 1063, Chicago, Illinois 60612. E-mail address: bcole{at}ortho4.pro.rpslmc.edu
{ddagger}9921 4th Avenue, Brooklyn, New York 11209.
§Center for Sports Medicine, University of Pittsburgh, Forbes Tower, Room 6060, Pittsburgh, Pennsylvania 15213.
#Harvard Shoulder Service, Massachusetts General Hospital, Partner's Department of Orthopaedic Surgery, Professional Office Building, Suite 403, 275 Cambridge Street, Boston, Massachusetts 02114. E-mail address: jwarner@partners.org.

Background: Sixty-three consecutive patients with recurrent traumatic anterior shoulder instability underwent operative repair. The decision to select either arthroscopic Bankart repair or open capsular shift was based on the findings of an examination under anesthesia and the findings at the time of arthroscopy. Thirty-nine patients with only anterior translation on examination under anesthesia and a discrete Bankart lesion underwent arthroscopic Bankart repair with use of absorbable transfixing implants. Twenty-four patients with inferior translation in addition to anterior translation on examination under anesthesia and capsular laxity or injury on arthroscopy underwent an open capsular shift.

Methods: Treatment outcomes for each group were determined according to the scoring systems of Rowe et al., the American Shoulder and Elbow Surgeons, and the Short Form-36. Failure was defined as recurrence of dislocation or subluxation or the finding of apprehension. Fifty-nine (94 percent) of the sixty-three patients were examined and filled out a questionnaire at a mean of fifty-four months (range, twenty-seven to seventy-two months) following surgery.

Results: There were no significant differences between the two groups with regard to the prevalence of failure or any of the other measured parameters of outcome. An unsatisfactory outcome occurred after nine (24 percent) of thirty-seven arthroscopic repairs and after four (18 percent) of twenty-two open reconstructions. All cases of recurrent instability resulted from a reinjury in a contact sport or a fall less than two years postoperatively. The treatment groups did not differ with regard to patient age, hand dominance, mechanism of initial injury, duration of follow-up, or delay until surgery. Measured losses of motion were minimal and, with the exception of forward elevation, slightly more of which was lost after the open capsular shifts (p = 0.05), did not differ between the two forms of treatment. Approximately 75 percent of the patients in each group returned to their favorite recreational sports with no or mild limitations. As rated by the patients, the result was good or excellent after thirty-one (84 percent) of the arthroscopic procedures and after twenty (91 percent) of the open procedures.

Conclusions: Arthroscopic and open repair techniques for the treatment of recurrent traumatic shoulder instability yield comparable results if the procedure is selected on the basis of the pathological findings at the time of surgery.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
G. Porcellini, F. Campi, F. Pegreffi, A. Castagna, and P. Paladini
Predisposing Factors for Recurrent Shoulder Dislocation After Arthroscopic Treatment
J. Bone Joint Surg. Am., November 1, 2009; 91(11): 2537 - 2542.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
N. S. Cho, J. W. Yi, B. G. Lee, and Y. G. Rhee
Revision Open Bankart Surgery After Arthroscopic Repair for Traumatic Anterior Shoulder Instability
Am. J. Sports Med., November 1, 2009; 37(11): 2158 - 2164.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
Y. Uchiyama, K. Hamada, S. Miyazaki, A. Handa, and H. Fukuda
Neer Modified Inferior Capsular Shift Procedure for Recurrent Anterior Instability of the Shoulder in Judokas
Am. J. Sports Med., May 1, 2009; 37(5): 995 - 1002.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
R. J. Hawkins, S. G. Krishnan, S. G. Karas, T. J. Noonan, and M. P. Horan
Electrothermal Arthroscopic Shoulder Capsulorrhaphy: A Minimum 2-Year Follow-up
Am. J. Sports Med., September 1, 2007; 35(9): 1484 - 1488.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
M. Scheibel, C. Nikulka, A. Dick, R. J. Schroeder, A. G. Popp, and N. P. Haas
Structural Integrity and Clinical Function of the Subscapularis Musculotendinous Unit After Arthroscopic and Open Shoulder Stabilization
Am. J. Sports Med., July 1, 2007; 35(7): 1153 - 1161.
[Abstract] [Full Text] [PDF]

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

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
M. Scheibel, A. Tsynman, P. Magosch, R. J. Schroeder, and P. Habermeyer
Postoperative Subscapularis Muscle Insufficiency After Primary and Revision Open Shoulder Stabilization
Am. J. Sports Med., October 1, 2006; 34(10): 1586 - 1593.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
P. J. Millett, P. Clavert, G. F. R. Hatch III, and J. J. P. Warner
Recurrent Posterior Shoulder Instability
J. Am. Acad. Ortho. Surg., August 1, 2006; 14(8): 464 - 476.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
D. S. Carreira, A. D. Mazzocca, J. Oryhon, F. M. Brown, J. K. Hayden, and A. A. Romeo
A Prospective Outcome Evaluation of Arthroscopic Bankart Repairs: Minimum 2-Year Follow-up
Am. J. Sports Med., May 1, 2006; 34(5): 771 - 777.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
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]

Home page
 J Bone Joint Surg BrHome page
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]

Home page
 Am J Sports MedHome page
S. Chen, P. S. Haen, J. Walton, and G. A. C. Murrell
The Effects of Thermal Capsular Shrinkage on the Outcomes of Arthroscopic Stabilization for Primary Anterior Shoulder Instability
Am. J. Sports Med., May 1, 2005; 33(5): 705 - 711.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
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]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
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]

Home page
 JBJSHome page
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]

Home page
 JBJSHome page
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]

Home page
 Am J Sports MedHome page
J. Walton, A. Paxinos, A. Tzannes, M. Callanan, K. Hayes, and G. A. C. Murrell
The Unstable Shoulder in the Adolescent Athlete
Am. J. Sports Med., September 1, 2002; 30(5): 758 - 767.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
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]

Home page
 JBJSHome page
C. D. Harner
What's New in Sports Medicine?
J. Bone Joint Surg. Am., February 1, 2001; 83(2): 305 - 305.
[Full Text]