Skip to main content

Advertisement

SpringerLink
Log in

Glenoid rim fracture through anchor points after arthroscopic Bankart repair for shoulder instability

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

Purpose

We studied the incidence of postoperative glenoid rim fractures and analysed the relationships of glenoid rim fracture with osteolysis, fracture pattern, number of anchors and postoperative activity after arthroscopic Bankart repair with suture anchor fixation.

Methods

Among 570 patients of the Bankart repair group, nine patients who had undergone revision arthroscopy for glenoid rim fracture after initial Bankart repair with at least two years post-revision follow-up were enrolled. Mean age was 28.8 years (range, 18–49 years), and mean follow-up was 36.4 months (range, 25–64 months). The mean time from Bankart repair to failure of initial surgery following trauma was 27.3 months (range, four to–84 months). Initial suture anchors were made of bioabsorbable composites (poly-d-l-lactic acid, PDLLA) without ceramic osteo-filler (seven cases) and metals (two cases). PDLLA without ceramic osteo-filler suture anchors were used for revision surgery. We reviewed 570 patients for relationship between osteolysis and glenoid rim fracture.

Results

Five patients including three and two with bioabsorbable and metal suture anchors, respectively, experienced glenoid rim fracture at more than two years postoperatively. Osteolysis around initial suture anchors groups showed higher glenoid rim fracture incidence compared with the control group (odd ratio =4.186 [95 % CI, 1.108–15.818]; p = 0.037).

Conclusions

Osteolysis related to insertion of metal or PLDDA suture anchors may lead to glenoid rim fracture. Remnant metal or bioabsorbable suture anchors without ceramic composite could be a stress riser at two years postoperatively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Athanasiou KA, Agrawal CM, Barber FA, Burkhart SS (1998) Orthopaedic applications for PLA-PGA biodegradable polymers. Arthroscopy 14:726–737

    Article  CAS  PubMed  Google Scholar 

  2. Athwal GS, Shridharani SM, O'Driscoll SW (2006) Osteolysis and arthropathy of the shoulder after use of bioabsorbable knotless suture anchors. A report of four cases. J Bone Joint Surg Am 88:1840–1845. doi:10.2106/JBJS.E.00721

    Article  PubMed  Google Scholar 

  3. Banerjee S, Weiser L, Connell D, Wallace AL (2009) Glenoid rim fracture in contact athletes with absorbable suture anchor reconstruction. Arthroscopy 25:560–562. doi:10.1016/j.arthro.2008.10.027

    Article  PubMed  Google Scholar 

  4. Barber FA (2007) Biodegradable shoulder anchors have unique modes of failure. Arthroscopy 23:316–320. doi:10.1016/j.arthro.2007.01.014

    Article  PubMed  Google Scholar 

  5. Barber FA, Dockery WD, Cowden CH 3rd (2013) The degradation outcome of biocomposite suture anchors made from poly L-lactide-co-glycolide and beta-tricalcium phosphate. Arthroscopy 29:1834–1839. doi:10.1016/j.arthro.2013.08.004

    Article  PubMed  Google Scholar 

  6. Barber FA, Snyder SJ, Abrams JS, Fanelli GC, Savoie FH 3rd (2003) Arthroscopic Bankart reconstruction with a bioabsorbable anchor. J Shoulder Elbow Surg 12:535–538. doi:10.1016/S1058274603001757

    Article  PubMed  Google Scholar 

  7. Boden RA, Burgess E, Enion D, Srinivasan MS (2009) Use of bioabsorbable knotless suture anchors and associated accelerated shoulder arthropathy: report of 3 cases. Am J Sports Med 37:1429–1433. doi:10.1177/0363546509332248

    Article  PubMed  Google Scholar 

  8. Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88:1755–1763. doi:10.2106/JBJS.E.00817

    Article  PubMed  Google Scholar 

  9. Dhawan A, Ghodadra N, Karas V, Salata MJ, Cole BJ (2012) Complications of bioabsorbable suture anchors in the shoulder. Am J Sports Med 40:1424–1430. doi:10.1177/0363546511417573

    Article  PubMed  Google Scholar 

  10. Freehill MQ, Harms DJ, Huber SM, Atlihan D, Buss DD (2003) Poly-L-lactic acid tack synovitis after arthroscopic stabilization of the shoulder. Am J Sports Med 31:643–647

    PubMed  Google Scholar 

  11. Fritsch BA, Arciero RA, Taylor DC (2010) Glenoid rim fracture after anchor repair: a report of 4 cases. Am J Sports Med 38:1682–1686. doi:10.1177/0363546510364239

    Article  PubMed  Google Scholar 

  12. Gaenslen ES, Satterlee CC, Hinson GW (1996) Magnetic resonance imaging for evaluation of failed repairs of the rotator cuff. Relationship to operative findings. J Bone Joint Surg Am 78:1391–1396

    CAS  PubMed  Google Scholar 

  13. Glueck D, Wilson TC, Johnson DL (2005) Extensive osteolysis after rotator cuff repair with a bioabsorbable suture anchor: a case report. Am J Sports Med 33:742–744. doi:10.1177/0363546504269254

    Article  PubMed  Google Scholar 

  14. Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY et al (2013) Glenoid fracture after Bristow-Latarjet shoulder stabilization: a case report and review of the literature. J Shoulder Elbow Surg 22:e17–e20. doi:10.1016/j.jse.2012.11.003

    Article  PubMed  Google Scholar 

  15. Griesser MJ, Harris JD, McCoy BW, Hussain WM, Jones MH, Bishop JY et al (2013) Complications and re-operations after Bristow-Latarjet shoulder stabilization: a systemic review. J Shoulder Elbow Surg 22:286–292. doi:10.1016/j.jse.2012.09.009

    Article  PubMed  Google Scholar 

  16. Gunja NJ, Athanasiou KA (2006) Biodegradable materials in arthroscopy. Sports Med Arthrosc 14:112–119

    Article  PubMed  Google Scholar 

  17. Hasegawa S, Tamura J, Neo M, Goto K, Shikinami Y, Saito M et al (2005) In vivo evaluation of a porous hydroxyapatite/poly-DL-lactide composite for use as a bone substitute. J Biomed Mater Res A 75:567–579. doi:10.1002/jbm.a.30460

    Article  PubMed  Google Scholar 

  18. Hecker AT, Shea M, Hayhurst JO, Myers ER, Meeks LW, Hayes WC (1993) Pull-out strength of suture anchors for rotator cuff and Bankart lesion repairs. Am J Sports Med 21:874–879

    Article  CAS  PubMed  Google Scholar 

  19. Kaar TK, Schenck RC Jr, Wirth MA, Rockwood CA Jr (2001) Complications of metallic suture anchors in shoulder surgery: a report of 8 cases. Arthroscopy 17:31–37

    Article  CAS  PubMed  Google Scholar 

  20. Marquardt B, Witt KA, Gotze C, Liem D, Steinbeck J, Potzl W (2006) Long-term results of arthroscopic Bankart repair with a bioabsorbable tack. Am J Sports Med 34:1906–1910. doi:10.1177/0363546506290404

    Article  PubMed  Google Scholar 

  21. Muller M, Kaab MJ, Villiger C, Holzach P (2002) Osteolysis after open shoulder stabilization using a new bio-resorbable bone anchor: a prospective, non-randomized clinical trial. Injury 33(Suppl 2):B30–B36

    Article  PubMed  Google Scholar 

  22. Nho SJ, Provencher MT, Seroyer ST, Romeo AA (2009) Bioabsorbable anchors in glenohumeral shoulder surgery. Arthroscopy 25:788–793. doi:10.1016/j.arthro.2008.08.018

    Article  PubMed  Google Scholar 

  23. Ozbaydar M, Elhassan B, Warner JJ (2007) The use of anchors in shoulder surgery: a shift from metallic to bioabsorbable anchors. Arthroscopy 23:1124–1126. doi:10.1016/j.arthro.2007.05.011

    Article  PubMed  Google Scholar 

  24. Randelli P, Ragone V, Carminati S, Cabitza P (2012) Risk factors for recurrence after Bankart repair a systemic review. Knee Surg Sports Traumatol Arthrosc 20:2129–2138. doi:10.1007/s00167-012-2140-1

    Article  CAS  PubMed  Google Scholar 

  25. Silver MD, Daigneault JP (2000) Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy 16:102–105

    Article  CAS  PubMed  Google Scholar 

  26. Spoliti M (2007) Glenoid osteolysis after arthroscopic labrum repair with a bioabsorbable suture anchor. Acta Orthop Belg 73:107–110

    PubMed  Google Scholar 

  27. Sugaya H, Moriishi J, Kanisawa I, Tsuchiya A (2006) Arthroscopic osseous Bankart repair for chronic recurrent traumatic anterior glenohumeral instability. Surgical technique. J Bone Joint Surg Am 88:159–169. doi:10.2106/JBJS.F.00319

    PubMed  Google Scholar 

  28. Van der Linde JA, Van Kampen DA, Terwee CB, Dijksman LM, Kleinjan G, Willems WJ (2011) Long-term results after arthroscopic shoulder stabilization using suture anchors: an 8- to 10-year follow up. Am J Sports Med 39:2396–2403. doi:10.1177/0363546511415657

    Article  PubMed  Google Scholar 

  29. Vasenius J, Vainionpaa S, Vihtonen K, Makela A, Rokkanen P, Mero M et al (1990) Comparison of in vitro hydrolysis, subcutaneous and intramedullary implantation to evaluate the strength retention of absorbable osteosynthesis implants. Biomaterials 11:501–504

    Article  CAS  PubMed  Google Scholar 

  30. Waris E, Ashammakhi N, Happonen H, Raatikainen T, Kaarela O, Tormala P, et al. (2003) Bioabsorbable miniplating versus metallic fixation for metacarpal fractures. Clin Orthop Relat Res 410:310–319. doi:10.1097/01.blo.0000063789.32430.c6

  31. Weiler A, Hoffmann RF, Stahelin AC, Helling HJ, Sudkamp NP (2000) Biodegradable implants in sports medicine: the biological base. Arthroscopy 16:305–321

    Article  CAS  PubMed  Google Scholar 

  32. Witney-Lagen C, Perera N, Rubin S, Venkateswaran B (2014) Fewer anchors achieves successful arthroscopic shoulder stabilization surgery: 114 patients with 4 years of follow-up. J Shoulder Elbow Surg 23:382–387. doi:10.1016/j.jse.2013.08.010

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All authors, their immediate families, and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.

Author information

Authors and Affiliations

  1. Global Center for Shoulder, Elbow & Sports, Neon Orthopaedic Clinic, Seoul, Korea

    Jin-Young Park & Se-Kwan Oh

  2. Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, 20 Geumo-ro, Mulgeum-eup, Yangsan, 626-770, Korea

    Seung-Jun Lee & Kuen-Tak Suh

  3. Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Korea

    KyungSoo Oh & YoungMin Noh

Authors
  1. Jin-Young Park
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Seung-Jun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Se-Kwan Oh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. KyungSoo Oh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. YoungMin Noh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kuen-Tak Suh
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Seung-Jun Lee.

Additional information

This manuscript has not been submitted or published elsewhere.

This manuscript has been read and approved by all authors, and each author believes that this manuscript represents honest work.

Institutional ethical board review approval was given by Konkuk University Hospital (No. KUH 1060060).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Park, JY., Lee, SJ., Oh, SK. et al. Glenoid rim fracture through anchor points after arthroscopic Bankart repair for shoulder instability. International Orthopaedics (SICOT) 39, 241–248 (2015). https://doi.org/10.1007/s00264-014-2604-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-014-2604-7

Keywords

Search

Navigation