Arthroscopic Repair of Combined Bankart and SLAP Lesions: Operative Techniques and Clinical Results.
- Author:
Hyung Lae CHO
1
;
Choon Key LEE
;
Tae Hyok HWANG
;
Kuen Tak SUH
;
Jong Won PARK
Author Information
- Publication Type:Original Article
- Keywords: Shoulder; Arthroscopy; Repair; Combined Bankart and SLAP lesion
- MeSH: Adolescent; Adult; Arthroscopy/*methods; Humans; Magnetic Resonance Imaging; Male; Orthopedic Procedures/*methods; Pain Measurement; Postoperative Care; Range of Motion, Articular; Shoulder Dislocation/diagnosis/etiology/physiopathology/*surgery; Tendon Injuries/complications/diagnosis/physiopathology/*surgery; Treatment Outcome; Young Adult
- From:Clinics in Orthopedic Surgery 2010;2(1):39-46
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: To evaluate the clinical results and operation technique of arthroscopic repair of combined Bankart and superior labrum anterior to posterior (SLAP) lesions, all of which had an anterior-inferior Bankart lesion that continued superiorly to include separation of the biceps anchor in the patients presenting recurrent shoulder dislocations. METHODS: From May 2003 to January 2006, we reviewed 15 cases with combined Bankart and SLAP lesions among 62 patients with recurrent shoulder dislocations who underwent arthroscopic repair. The average age at surgery was 24.2 years (range, 16 to 38 years), with an average follow-up period of 15 months (range, 13 to 28 months). During the operation, we repaired the unstable SLAP lesion first with absorbable suture anchors and then also repaired Bankart lesion from the inferior to superior fashion. We analyzed the preoperative and postoperative results by visual analogue scale (VAS) for pain, the range of motion, American Shoulder and Elbow Surgeon (ASES) and Rowe shoulder scoring systems. We compared the results with the isolated Bankart lesion. RESULTS: VAS for pain was decreased from preoperative 4.9 to postoperative 1.9. Mean ASES and Rowe shoulder scores were improved from preoperative 56.4 and 33.7 to postoperative 91.8 and 94.1, respectively. There were no specific complication and no significant limitation of motion more than 10 degree at final follow-up. We found the range of motions after the arthroscopic repair in combined lesions were gained more slowly than in patients with isolated Bankart lesions. CONCLUSIONS: In recurrent dislocation of the shoulder with combined Bankart and SLAP lesion, arthroscopic repair using absorbable suture anchors produced favorable clinical results. Although it has technical difficulty, the concomitant unstable SLAP lesion should be repaired in a manner that stabilizes the glenohumeral joint, as the Bankart lesion can be repaired if the unstable SLAP lesion is repaired first.
