Abstract
We present a modified hybrid technique that is a combination of a transglenoid and suture anchor technique. Three-dimensional CT reconstruction is indicated for patients with bony fragments larger than 10 mm. First, a transglenoid technique is performed to reduce the bony fragment and then a suture anchor technique is performed to achieve a stable fixation. This combined technique is a useful arthroscopic procedure for the easy reduction and stable fixation of bony Bankart lesions.
Similar content being viewed by others
References
Aston JW, Gregory CF (1973) Dislocation of the shoulder with significant fracture of the glenoid. J Bone Joint Surg Am 55:1531–1533
Bauer T, Abadie O, Hardy P (2006) Arthroscopic treatment of glenoid fractures. Arthroscopy 22:569.e1–569.e6
Bigliani LU, Newton PM, Steinmann SP, Connor PM, McLlveen SJ (1998) Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med 26:41–45
Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16:677–694
Bushnell BD, Creighton RA, Herring MM (2008) Bony instability of the shoulder. Arthroscopy 24:1061–1073
Cameron SE (1998) Arthroscopic reduction and internal fixation of an anterior glenoid fracture. Arthroscopy 14:743–746
De Palma AF (1983) Surgery of the shoulder, 3rd edn. Lippincott, Philadelphia
Edwards TB, Boulahia A, Walch G (2003) Radiographic analysis of bone defects in chronic anterior shoulder instability. Arthroscopy 19:732–739
Griffith JF, Antonio GE, Tong CW, Ming CK (2003) Anterior shoulder dislocation: quantification of glenoid bone loss with CT. AJR Am J Roentgenol 180:1423–1430
Ideberg R, Grevsten S, Larsson S (1995) Epidemiology of scapular fractures. Incidence and classification of 338 fractures. Acta Orthop Scand 66:395–397
Itoi E, Lee SB, Berglund LJ, Berge LL, An KN (2000) The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am 82:35–46
Kim SH, Ha KI, Cho YB, Ryu BD, Oh I (2003) Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg Am 85-A:1511–1518
Palmer I, Widen A (1948) The bone block method for recurrent dislocation of the shoulder joint. J Bone Joint Surg Am 30B:53–58
Porcellini G, Campi F, Paladini P (2002) Arthroscopic approach to acute bony Bankart lesion. Arthroscopy 18:764–769
Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60:1–16
Rowe CR, Sakellarides HT (1961) Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop Relat Res 20:40–48
Symeonides PP (1972) The significance of the subscapularis muscle in the pathogenesis of recurrent anterior dislocation of the shoulder. J Bone Joint Surg Br 54:476–483
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, SJ., Kim, TW., Moon, HK. et al. A combined transglenoid and suture anchor technique for bony Bankart lesions. Knee Surg Sports Traumatol Arthrosc 17, 1443–1446 (2009). https://doi.org/10.1007/s00167-009-0845-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-009-0845-6