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The Journal of Bone and Joint Surgery 80:1083-4 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Benjamin N. Rosenberg, M.D., John C. Richmond, M.D., William N. Levine, M.D., Thomas J. Gill, M.D., Lyle J. Micheli, M.D., Frank Gebhard, B.A. and Christian Binder, B.A.

TO THE EDITOR:

We read "Bankart Repair for Anterior Instability of the Shoulder. Long-Term Outcome" (79-A: 850–857, June 1997), by Gill et al., with interest. The authors followed fifty-six patients for an average of 11.9 years (minimum, eight years) after a Bankart reconstruction for anterior instability. They stated in their Abstract that, as far as they knew, "there have been no studies on the long-term outcome of the Bankart procedure."

Evidently, they were unaware of our paper, published in the American Journal of Sports Medicine2, in which we described the results of thirty-three Bankart reconstructions in thirty-one patients who were followed for an average of fifteen years (minimum, ten years). We demonstrated an association between the presence of degenerative glenohumeral arthrosis and limitation of external rotation with the arm abducted 90 degrees. We theorized that restricted external rotation may predispose the shoulder to degenerative arthrosis, although we were unable . . . [Full Text of this Article]


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