Application of arthroscopic repair without traction for non-osseous Bankart injury in shoulder
10.11659/jjssx.01E017032
- VernacularTitle:肩关节前下盂唇损伤非牵引下关节镜修复术的临床分析
- Author:
Xin-Wei LIU
1
;
Song-Bo LIU
;
Guo-Cheng DING
;
Ming LIU
;
Chao GUO
;
Jing-Dong ZHANG
;
Yu WANG
Author Information
1. 沈阳军区总医院骨科
- Keywords:
Bankart injury;
arthroscopy;
shoulder joint instability;
glenohumeral joint
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(11):799-802
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of arthroscopic repair without traction for non-osseous Bankart injury.Methods From January 2009 to January 2015,the clinical data of 182 cases underwent arthroscopic Bankart repair for anterior shoulder instability in our hospital were analyzed retrospectively.They were aged from 18 to 39 years old,mean age was(26.5 ± 9.3) years.The course of disease was from 1 to 10 years,mean duration was(3.2 ±2.6) years.Recurrent dislocation was 6 to 62 times,with average of (24.2 ± 17.3) times.All cases were performed arthroscopic repair without traction.Rowes scores and UCLA scores were used for evaluation.Results All of 182 cases were followed up from 6 to 18 months,an average of (12.5 ± 6.7) months.Of the 182 patients,12 cases with postoperative limited 20°external rotation could not attend confrontational training and the other 170 cases had no adverse effect.The average loss of shoulder joint extorsion activity angle were (10.5 ± 4.1) °.Postoperative UCLA score (89 ± 3.5) was more than preoperative (25 ± 6.2),the differences were significant (P ＜ 0.05).Postoperative Rowes score (28.7 ± 2.2) were more than preoperative (7.3 ± 1.6),the differences were significant (P ＜ 0.05).Conclusion Curative effect of arthroscopic repair without traction for non-osseous Bankart injury caused by training is satifactory,which can provide brachial plexus,blood vessel and other tissues during surgery from traction,and be helpful to the popularization and application in basic-level hospitals.
