Clin Should Elbow.  2011 Jun;14(1):117-124.

Arthroscopic Reconstruction of Bony Defect in Shoulder Instability

• Kim YS
• Ok JH

Abstract

PURPOSE
We reviewed arthroscopic reconstruction among the several treatment options for anterior shoulder instability with a bony Bankart lesion.
MATERIALS AND METHODS
Although open Bankart repair has long been considered the optimal surgical management of anterior shoulder instability, advancements in arthroscopic techniques have led to a recent shift to arthroscopic Bankart repair. However, for cases of a glenoid bony defect, several authors have reported various methods to accurately measure the amount of bony defect.
RESULTS
The arthroscopic technique of bony Bankart reconstruction continues to evolve and various methods have followed. To overcome the limitations of single fixation of a Bankart lesion, arthroscopic dual fixation (2 point fixation) has recently been tried to anatomically repair and restore the rigid fixation of a bony fragment. The concept of performing the Bristow-Latarjet transfer procedure under arthroscopy has also recently emerged. However, a large series of cases and long term follow up are required to prove the better results.
CONCLUSION
To obtain a successful outcome for patients with anterior instability with a glenoid bony defect, it is imperative that the surgeon be aware of the accurate status of the bony defect and the intraoperative, postoperative factors associated with the proper treatment of this unstable pathology.

MeSH Terms

Arthroscopy
Humans
Shoulder