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Mini-Incision Bankart Repair

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Minimally Invasive Surgery in Orthopedics

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Abstract

Recurrent instability can lead to severe disability. The balance between stability and freedom of motion makes the glenohumeral joint vulnerable to injury. Treatment can be challenging. Historic surgical options have included staple capsulorrhaphy [1] and subscapularis advancement [2], but these procedures resulted in substantial restriction of external rotation and subsequent glenohumeral arthrosis [3–7]. Furthermore, the traditional limited operative indications failed to account for the growing awareness of subluxations as a source of symptomatic instability [8–11]. Surgical options today for anterior shoulder instability include capsular shift [12], capsulolabral repair [13], and transfer of the coracoid [14]. Some indications are overlapping, but mini-incision open Bankart repair may be favored in cases of young collision and over-head athletes, revision cases, and in cases with a sizable glenoid fracture amenable to screw fixa tion [12, 17–22]. Here we describe the mini-incision approach for capsulolabral repair.

Adapted from Lee EW, Flatow EL, Mini-incision Bankart Repair for Shoulder Instability, in Scuderi G, Tria A, Berger R (eds.), MIS Techniques in Orthopedics, New York, Springer, 2006, with kind permission of Springer Science and Business Media, Inc.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA, USA

    Leslie A. Fink Barnes

  2. Peter & Leni May Department of Orthopaedic Surgery, Mount Sinai Medical Center, 5 East 98th Street, New York, NY, USA

    Evan L. Flatow

  3. Fredericksburg Orthopaedic Associates, PC, 3310 Fall Hill Ave, Fredericksburg, VA, 22401, USA

    Kenneth Accousti

  4. Houston Methodist Orthopaedics and Sports Medicine, Houston Methodist, St. John Hospital, Nassau Bay, TX, 77058, USA

    Edward Lee

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  1. Leslie A. Fink Barnes
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  2. Kenneth Accousti
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  3. Edward Lee
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  4. Evan L. Flatow
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Correspondence to Leslie A. Fink Barnes .

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Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

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Barnes, L.A.F., Accousti, K., Lee, E., Flatow, E.L. (2016). Mini-Incision Bankart Repair. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_14

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