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Postoperative evaluation of drill holes for arthroscopic Bankart repair with suture anchors by the use of computed tomography

  • Original Article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

Here we investigated the angle and placement of bone holes for suture anchors using postoperative computed-tomography scapula scans.

Methods

The study group comprised 20 shoulders from 20 consecutive patients (13 males and seven females; mean age 23.4 years) who underwent arthroscopic Bankart repair. All anchors were inserted through the anterior portal after establishing a bone hole at the edge of the glenoid articular surface using a drill. Computed tomography images of the scapula were taken 1 month postoperatively and used to create three-dimensional scapula models with Mimics and Magics software. Bone holes in the anterior–inferior (3:00–6:00) position were assigned either to the non-perforated group if they were positioned entirely inside the glenoid bone or to the perforated group if the far cortex of the glenoid was penetrated by the drill. The angle between the glenoid articular surface and the bone hole was measured in the oblique coronal and transverse plane views. The length of the bone hole was also assessed.

Results

Of the 85 bone holes investigated, 42 were in the 3:00–6:00 position. Perforation was detected in 16 of these 42 holes (38.2 %). The angle in the oblique coronal plane view and the length of the bone hole were significantly larger in the non-perforated group than in the perforated group; however, the angle in the transverse plane view did not significantly differ between the two groups.

Conclusions

Before inserting an implant in the anterior–inferior area, the angle between the drill guide and the glenoid surface in the oblique coronal plane view should be carefully checked to ensure that the length of the hole inside the glenoid bone is adequate.

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References

  1. Bankart ASB. The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg. 1938;26:23–8.

    Article  Google Scholar 

  2. Matthews LS, Zarins B, Michael RH, Helfet LD. Anterior portal selection for shoulder arthroscopy. Arthroscopy. 1985;1(1):33–9.

    Article  CAS  PubMed  Google Scholar 

  3. Wolf EM. Anterior portals in shoulder arthroscopy. Arthroscopy. 1989;5(3):201–8.

    Article  CAS  PubMed  Google Scholar 

  4. Davidson PA, Tibone JE. Anterior–inferior (5 o’clock) portal for shoulder arthroscopy. Arthroscopy. 1995;11(5):519–25.

    Article  CAS  PubMed  Google Scholar 

  5. Lim TK, Koh KH, Lee SH, Shon MS, Bae TS, Park WH, Yoo JC. Inferior anchor cortical perforation with arthroscopic Bankart repair: a cadaveric study. Arthroscopy. 2013;29(1):31–6.

    Article  PubMed  Google Scholar 

  6. Take Y, Yoneda M, Hayashida K, Nakagawa S, Mizuno N. Enlargement of drill holes after use of a biodegradable suture anchor: quantitative study on consecutive postoperative radiographs. Arthroscopy. 2008;24(3):251–7.

    Article  PubMed  Google Scholar 

  7. Takubo Y, Morihara T, Namura T, Nakagawa H, Takeshita H, Horii M, Kurokawa M, Kubo T. Anchor hole enlargement after arthroscopic Bankart repair using absorbable suture anchors: a report of three cases. J Shoulder Elb Surg. 2008;17(6):e16–8.

    Article  Google Scholar 

  8. Böstman OM, Pihlajamäki HK. Late foreign-body reaction to an intraosseous bioabsorbable polylactic acid screw: a case report. J Bone Jt Surg. 1998;80(12):1791–4.

    Google Scholar 

  9. Ekelund AG. Cartilage injuries in the shoulder joint caused by migration of suture anchors or mini screw. J Shoulder Elb Surg. 1998;7(5):537–9.

    Article  CAS  Google Scholar 

  10. Freehill MQ, Harms DJ, Huber SM, Atlihan D, Buss DD. Poly-L-lactic acid tack synovitis after arthroscopic stabilization of the shoulder. Am J Sports Med. 2003;31(5):643–7.

    PubMed  Google Scholar 

  11. Glueck D, Wilson TC, Johnson DL. Extensive osteolysis after rotator cuff repair with a bioabsorbable suture anchor: a case report. Am J Sports Med. 2005;33(5):742–4.

    Article  PubMed  Google Scholar 

  12. Silver MD, Daigneault JP. Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy. 2000;16(1):102–5.

    Article  CAS  PubMed  Google Scholar 

  13. Bryan WJ, Schauder K, Tullos HS. The axillary nerve and its relationship to common sports medicine shoulder procedures. Am J Sports Med. 1986;14(2):113–6.

    Article  CAS  PubMed  Google Scholar 

  14. Eakin CL, Dvirnak P, Miller CM, Hawkins RJ. The relationship of the axillary nerve to arthroscopically placed capsulolabral sutures. An anatomic study. Am J Sports. 1998;26(4):505–9.

    CAS  Google Scholar 

  15. Price, Tillett ED, Acland RD, Nettleton GS. Determining the relationship of the axillary nerve to the shoulder joint capsule from an arthroscopic perspective. J Bone Jt Surg Am. 2004;86-A(10):2135–42.

    Google Scholar 

  16. Lehtinen JT, Tingart MJ, Apreleva M, Ticker JB, Warner JJ. Variations in glenoid rim anatomy: implications regarding anchor insertion. Arthroscopy. 2004;20(2):175–8.

    Article  PubMed  Google Scholar 

  17. Ilahi OA, Al-Fahl T, Bahrani H, Luo ZP. Glenoid suture anchor fixation strength: effect of insertion angle. Arthroscopy. 2004;20(6):609–13.

    Article  PubMed  Google Scholar 

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Acknowledgement

The authors appreciate the assistance of Takeshi Nishiyama in this study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan

    Masahito Yoshida, Hideyuki Goto, Masahiro Nozaki, Yasuhiro Nishimori, Tetsuya Takenaga, Atsunori Murase, Yuko Nagaya, Masaaki Kobayashi & Takanobu Otsuka

  2. Department of Arthroplastic Medicine, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan

    Hirotaka Iguchi

  3. Nagoya Sports Clinic, Nagoya, Japan

    Katsumasa Sugimoto

Authors
  1. Masahito Yoshida
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  2. Hideyuki Goto
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  3. Masahiro Nozaki
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  4. Yasuhiro Nishimori
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  5. Tetsuya Takenaga
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  6. Atsunori Murase
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  7. Yuko Nagaya
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  9. Masaaki Kobayashi
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  11. Takanobu Otsuka
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Corresponding author

Correspondence to Hideyuki Goto.

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Yoshida, M., Goto, H., Nozaki, M. et al. Postoperative evaluation of drill holes for arthroscopic Bankart repair with suture anchors by the use of computed tomography. J Orthop Sci 20, 481–487 (2015). https://doi.org/10.1007/s00776-015-0703-y

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  • DOI: https://doi.org/10.1007/s00776-015-0703-y

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