nach oben

European Journal of Orthopaedic Surgery & Traumatology

Erschienen in:

13.08.2024 | Original Article

Comparison between arthroscopic Bankart repair versus arthroscopic Bankart/SLAP lesion repair in limited-contact athletes with type V SLAP lesion. A prospective cohort study

verfasst von: Iván José Bitar, Christian Allende Nores, Lucas Daniel Marangoni, Damian Gabriel Bustos, Luciano Pezzutti, Lucia Belen Bitar

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 6/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study was to compare the functional outcomes, recurrence rate, range of motion (ROM) and return to sports activities between arthroscopic Bankart repair (ABR) versus arthroscopic Bankart/SLAP repair (ABR/S) in limited contact-athletes with a type V SLAP lesion in the scenario of recurrent anterior shoulder instability (RASI). Our hypothesis was that there is no difference between the two treatments.

Methods

Two groups of 45 limited-contact athletes with type V SLAP lesion were created. Group 1 underwent an arthroscopic Bankart repair, while group 2 had an arthroscopic Bankart/SLAP repair. The minimum follow-up period was 2 years. The WOSI and ASES scores were used to assess primary functional outcomes. Recurrence rate, ROM and return to sport were also evaluated.

Results

Significant differences were reported in the WOSI and ASES scores pre- and post-operatively in each group. There were no significant differences between the two groups (P = 0.78 and 0.43). We reported 4 recurrences (8.8 %) in group 1 and 5 (11.1 %) in group 2, with no difference between them (P = 0.62). There were no significant differences between the range of motion of each of the groups as well as between them. More than 90% of the athletes in both groups returned to their previous sporting activities.

Conclusions

Limited-contact athletes with RASI who have a type V SLAP lesion as their primary diagnosis can be treated using either ABR or ABR/S with equal efficacy. Both treatment alternatives preserve athlete's function, stability, ROM and return to sport.

Balg F, Boileau P (2007) The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br 89:1470–1477. https://doi.org/10.1302/0301-620X.89B11.18962CrossRefPubMed

Domos P, Ascione F, Wallace AL (2019) Arthroscopic Bankart repair with remplissage for non-engaging Hill-Sachs lesion in professional collision athletes. Shoulder Elbow 11:17–25. https://doi.org/10.1177/1758573217728414CrossRefPubMed

Bitar IJ, Bustos DG, Marangoni LD, Robles C, Gentile L, Bertiche P (2023) Outcomes of open Bankart repair plus inferior capsular shift compared with latarjet procedure in contact athletes with recurrent anterior shoulder instability. Arch Bone Jt Surg 11(1):39–46. https://doi.org/10.22038/ABJS.2022.60208.2974CrossRefPubMedPubMedCentral

Provencher MT, Midtgaard KS, Owens BD, Tokish JM (2021) Diagnosis and management of traumatic anterior shoulder instability. J Am Acad Orthop Surg 29(e51):e61. https://doi.org/10.5435/JAAOS-D-20-00202CrossRef

Kakazu R, MD, LeVasseur MR, Arciero RA, Mazzocca AD (2021) State of the art for treatment of bony defects around anterior shoulder instability-the American perspective. Neuester Stand der Behandlung knöcherner Defekte im Bereich der vorderen Schulterinstabilität – aus amerikanischer Sicht, 16:16–21. https://doi.org/10.1007/s11678-021-00631-2

Spatschil A, Landsiedl F, Anderl W et al (2006) Posttraumatic anterior-inferior instability of the shoulder: arthroscopic findings and clinical correlations. Arch Orthop Trauma Surg 126:217–222. https://doi.org/10.1007/s00402-005-0006-4CrossRefPubMed

Kim DS, Yoon YS, Kwon SM (2010) The spectrum of lesions and clinical results of arthroscopic stabilization of acute anterior shoulder instability. Yonsei Med J 51:421–426. https://doi.org/10.3349/ymj.2010.51.3.421CrossRefPubMedPubMedCentral

Maffet MW, Gartsman GM, Moseley B (1995) Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med 23:93–98. https://doi.org/10.1177/036354659502300116CrossRefPubMed

Gartsman GM, Roddey TS, Hammerman SM (2000) Arthroscopic treatment of anterior-inferior glenohumeral instability. Two to five-year follow-up. J Bone Joint Surg Am 82:991–1003. https://doi.org/10.2106/00004623-200007000-00011CrossRefPubMed

10.

Garofalo R, Mocci A, Moretti B et al (2005) Arthroscopic treatment of anterior shoulder instability using knotless suture anchors. Arthroscopy 21:1283–1289. https://doi.org/10.1016/j.arthro.2005.08.033CrossRefPubMed

11.

Yiannakopoulos CK, Mataragas E, Antonogiannakis E (2007) A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy 23:985–990. https://doi.org/10.1016/j.arthro.2007.05.009CrossRefPubMed

12.

Durban CM, Kim JK, Kim SH, Oh JH (2016) Anterior shoulder instability with concomitant superior labrum from anterior to posterior (SLAP) lesion compared to anterior instability without SLAP lesion. Clin Orthop Surg 8:168–174. https://doi.org/10.4055/cios.2016.8.2.168CrossRefPubMedPubMedCentral

13.

Mihata T, McGarry MH, Tibone JE, Fitzpatrick MJ, Kinoshita M, Lee TQ (2008) Biomechanical assessment of type II superior labral anterior-posterior (SLAP) lesions associated with anterior shoulder capsular laxity as seen in throwers: a cadaveric study. Am J Sports Med 36:1604–1610. https://doi.org/10.1177/0363546508315198CrossRefPubMed

14.

Aydin N, Unal MB, Asansu M, Tok O (2017) Concomitant SLAP repair does not influence the surgical outcome for arthroscopic Bankart repair of traumatic shoulder dislocations. J Orthop Surg (Hong Kong) 25:1–6. https://doi.org/10.1177/2309499017718952CrossRef

15.

Takase K (2009) Risk of motion loss with combined Bankart and SLAP repairs. Orthopedics. https://doi.org/10.3928/01477447-20090624-05CrossRefPubMed

16.

Hantes ME, Venouziou AI, Liantsis AK, Dailiana ZH, Malizos KN (2009) Arthroscopic repair for chronic anterior shoulder instability: a comparative study between patients with Bankart lesions and patients with combined Bankart and superior labral anterior posterior lesions. Am J Sports Med 37:1093–1098. https://doi.org/10.1177/0363546508331139CrossRefPubMed

17.

Lee SH, Joo MS, Lim KH, Kim JW (2018) Arthroscopic treatment of a type II superior labrum anterior to posterior (SLAP) lesion combined with a Bankart lesion: comparative study between debridement and repair of type II SLAP lesion by the status of lesion. Clin Shoulder Elb 21:37–41. https://doi.org/10.5397/cise.2018.21.1.37CrossRefPubMedPubMedCentral

18.

Jeon YS, Jeong HY, Lee DK, Rhee YG (2018) Borderline glenoid bone defect in anterior shoulder instability: latarjet procedure versus Bankart repair. Am J Sports Med 46:2170–2176. https://doi.org/10.1177/0363546518776978CrossRefPubMed

19.

White AE, Patel NK, Hadley CJ, Dodson CC (2019) An algorithmic approach to the management of shoulder instability. J Am Acad Orthop Surg Glob Res Rev 3(e19):00168. https://doi.org/10.5435/JAAOSGlobal-D-19-00168CrossRef

20.

Petrera M, Dwyer T, Tsuji MR, Theodoropoulos JS (2013) Outcomes of arthroscopic Bankart repair in collision versus noncollision athletes. Orthopedics 36:e621–e626. https://doi.org/10.3928/01477447-20130426-25CrossRefPubMed

21.

Yamamoto N, Kijima H, Nagamoto H et al (2015) Outcome of Bankart repair in contact versus non-contact athletes. Orthop Traumatol Surg Res 101:415–419. https://doi.org/10.1016/j.otsr.2015.03.008CrossRefPubMed

22.

Virk MS, Arciero RA (2013) Superior labrum anterior to posterior tears and glenohumeral instability. Instr Course Lect 62:501–514PubMed

23.

Feng S, Song Y, Li H, Chen J, Chen J, Chen S (2019) Outcomes for arthroscopic repair of combined Bankart/SLAP lesions in the treatment of anterior shoulder instability: a systematic review and meta-analysis. Orthop J Sports Med 7:31. https://doi.org/10.1177/2325967119877804CrossRef

24.

Lo IK, Burkhart SS (2005) Triple labral lesions: pathology and surgical repair technique-report of seven cases. Arthroscopy 21:186–193. https://doi.org/10.1016/j.arthro.2004.09.022CrossRefPubMed

25.

Cho HL, Lee CK, Hwang TH, Suh KT, Park JW (2010) Arthroscopic repair of combined Bankart and SLAP lesions: operative techniques and clinical results. Clin Orthop Surg 2:39–46. https://doi.org/10.4055/cios.2010.2.1.39CrossRefPubMedPubMedCentral

26.

Itoigawa Y, Hooke AW, Sperling JW et al (2020) Bankart repair alone in combined Bankart and superior labral anterior-posterior lesions preserves range of motion without compromising joint stability. JSES Int 21:63–67. https://doi.org/10.1016/j.jseint.2019.11.001CrossRef

27.

Boileau P, Parratte S, Chuinard C, Roussanne Y, Shia D, Bicknell R (2009) Arthroscopic treatment of isolated type II SLAP lesions: biceps tenodesis as an alternative to reinsertion. Am J Sports Med 37:929–936. https://doi.org/10.1177/0363546508330127CrossRefPubMed

28.

Kim DS, Yi CH, Yoon YS (2011) Arthroscopic repair for combined Bankart and superior labral anterior posterior lesions: a comparative study between primary and recurrent anterior dislocation in the shoulder. Int Orthop 35:1187–1195. https://doi.org/10.1007/s00264-011-1229-3CrossRefPubMedPubMedCentral

Titel: Comparison between arthroscopic Bankart repair versus arthroscopic Bankart/SLAP lesion repair in limited-contact athletes with type V SLAP lesion. A prospective cohort study
verfasst von: Iván José Bitar
Christian Allende Nores
Lucas Daniel Marangoni
Damian Gabriel Bustos
Luciano Pezzutti
Lucia Belen Bitar
Publikationsdatum: 13.08.2024
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 6/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-04072-9

Concurrent plate fixation and pedicled flap coverage for open fractures complicated by soft tissue loss of the tibia in pediatric cohort: a clinical series

Original Article

Intracapsular neck of femur fractures secondary to civilian gunshot injuries: an inter- and intra-observer agreement study on classification and treatment using the AO/OTA classification

Open Access
Original Article

Total hip arthroplasty for fractured neck of femur does not restore preoperative hip-specific function, health-related quality of life, or level of fitness

Open Access
Original Article

En bloc resection and reconstruction using a talar prosthesis for malignant talar bone tumor: a surgical technique

Technical Note

The “foothill” entry for cephalomedullary nailing in unstable proximal femoral fractures: a technical note with a review of the literature

Technical Note

Open ankle fractures in the elderly: predisposing factors and the associated mortality

Original Article

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie erweitert durch Fallbeispiele, Videos und Abbildungen. Zur Fortbildung und Wissenserweiterung, verfasst und geprüft von Expertinnen und Experten der Gesellschaft für Arthroskopie und Gelenkchirurgie (AGA).

Jetzt entdecken!

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Viele Versäumnisse bei Psoriasis-Arthritis

17.04.2025
Psoriasis-Arthritis
Nachrichten

Menschen mit Psoriasis-Arthritis (PsA) müssen länger auf die Diagnose warten und werden zögerlicher behandelt als an rheumatoider Arthritis (RA) Erkrankte. Diese Defizite hat eine Untersuchung in Großbritannien aufgedeckt.

Yoga gegen Kniearthrose nicht schlechter als Krafttraining

15.04.2025
Gonarthrose
Nachrichten

Menschen mit Gonarthrose profitieren von Yogaübungen nicht weniger als von gezielten Kräftigungsübungen für die lädierten Knie. In einer Vergleichsstudie haben sich für Yogis und Yoginis sogar einige Vorteile ergeben.

Muskelrelaxanzien wohl nur bei akuten Kreuzschmerzen hilfreich

14.04.2025
Rückenschmerzen
Nachrichten

Bei akuten Rückenschmerzen können Muskelrelaxanzien, eventuell in Kombination mit NSAR, zur Schmerzlinderung beitragen. Wegen der Nebenwirkungen wird jedoch empfohlen, die Medikamente nur über wenige Tage einzusetzen.

Wie bereits der virtuelle "Blick ins Grüne" Schmerzen lindern kann

07.04.2025
Nichtmedikamentöse Schmerztherapie
Nachrichten

Dass der Blick in die Natur Menschen dazu bringen kann, Schmerzen weniger stark zu empfinden, konnte bereits mehrfach nachgewiesen werden. Jetzt ließen sich in einer experimentellen Studie sogar allein durch das Betrachten von Videos mit Naturszenen analgetische Effekte erzeugen.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Comparison between arthroscopic Bankart repair versus arthroscopic Bankart/SLAP lesion repair in limited-contact athletes with type V SLAP lesion. A prospective cohort study