• Title/Summary/Keyword: Bankart

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Open Capsular Shift versus Arthroscopic Bankart Repair for Recurrent Dislocation of Shoulder (견관절 습관성 탈구의 관혈적 관절막 전위술과 관절경적 Bankart 병변 수복술)

  • Kim Jung-Man;Seo Jeong-Tae;Chang Cheong-Ho;Kim Tac-Soo
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.47-52
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    • 1999
  • The results of open capsular shift(Group 1) and arthroscopic trans glenoid Bankart repair(Group 2) for the recurrent anterior dislocation of the shoulder were compared. During a 4-year period, 25 patients were surgically treated. Fourteen shoulders had open Bankart procedure and capsular shift, and II shoulders were treated arthroscopically. A Bankart lesion was found in 12 out of 14 patients in Group I and all 11 patients in Group 2. Average follow-up period was 46 months for Group 1 and 23.4 months for Group 2. Group 1 showed 71.4% good to excellent results with 1 recurrent dislocation. Group 2 showed 90.9% good to excellent results with no recurrent dislocation. The cause of less favorable results of Group I compared with Group 2 was loss of external rotation postoperatively. The study showed that the results of arthroscopic Bankart repair was comparable to the open capsular shift in terms of stability, and the postoperative function was better than open capsular shift.

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Results of Arthroscopic Bankart Repair Using Knotless Suture Anchor (Knotless Suture Anchor를 이용한 관절경적 Bankart 봉합술의 결과)

  • Kim Bo-Hyun;Byun Jae-Yong;Hong Chang-Wha;Hwang Chan-Ha;Yoo Ju-Seok;Kim Sang-Bum
    • Clinics in Shoulder and Elbow
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    • v.8 no.1
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    • pp.23-30
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    • 2005
  • Purpose: This paper analyzes the results of arthroscopic bankart repair for anterior recurrent dislocation following a trauma on shoulder. Material and Methods: The subjects were twenty-three (23) cases that were available to follow up for more than eighteen months during the period from November 2001 to June 2003 and were chosen from patients to whom arthroscopic bankart repair was applied using a knotless suture anchor for their traumatic anterior recurrent dislocation on the shoulder. Their average age was 28 (ranging from 15 to 60) with 20 males and 3 females. The injury from sports activities accounted for the most cases with 14 subjects. The average follow-up period was 27 months (ranging from 18 months to 35 months). There were 19 cases of bankart lesions, 4 cases of ALPSA lesions and associated with 5 cases of partial tear in the rotator cuff. The anchors employed were knotless anchor (Mitek) for all the cases. Rowe scoring scale was adopted to judge the results after operations. Patients' subjective satisfaction and range of motion of external rotation were addressed together. Results: Rowe scores showed that 20 cases (87%) reaches the level of 'good' and hinger. The average patients' satisfaction accounted for 90 points out of 100. It was also found that external rotations averagely decreased by 6.5 degree when the range of motion was in at the side. Conclusion: There were satisfactory results of arthroscopic bankart repair using knotless suture anchors as an operative treatment for traumatic anterior recurrent dislocation on shoulder.

Arthroscopic Bankart Repair with Suture Anchor (Bankart 병변의 봉합나사를 이용한 관절경적 봉합술)

  • Kim Kyung Taek;Kim Chul Hong;Kim Sung Hoo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.149-153
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    • 2002
  • Purpose: To evaluate the efficacy of arthroscopic Bankart repair using suture anchors for treatment of traumatic anterior instability of shoulder joint .Materials and Methods: We performed arthroscopic Bankart repair using suture anchor in 54cases and evaluated the results with the functional grading system of Rowe and Zarins after patients were followed up for more than 12 months. Results: Combined pathologies identified under arthroscopy were Hill-Sachs lesion in 28 cases, SLAP lesion in 6 cases and chondromalacia of humeral head in 6 cases. The results were excellent or good in 50 cases(92.6$\%$), and redislocation was happened only two cases. Conclusion: We conclude that arthroscopic Bankart repair with suture anchors is one of the reliableand effective method for treatment of recurrent shoulder dislocation with Bankart lesion.

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The Prognostic Factor Analysis Through Rowe Scoring System in Arthroscopic Bankart Operation Used Suture-anchor Method (Suture-anchor를 이용한 관절경적 Bankart 술식에서의 Rowe 점수를 통한 예후 인자 분석)

  • Han Jae-Hyeung;Seo Jae-Sung
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.81-86
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    • 2003
  • Purpose : The clinical consequences of arthroscopic Bankart repair using suture anchor with non-absorbable suture as well as various factors, expected to have an effect on the prognosis of disease, have been evaluated and compared through preoperative and postoperative modified Rowe score. Materials and Methods : Twenty-eight cases were evaluated for the subject of this study, which enabled us to follow up at least for more than 18 months from lune, 1997 to May, 2001. Modified Rowe score was used for the evaluation of preoperative and follow-up shoulder function and stability. After setting up 9 factors expected to affect a prognosis, a statistical verification was conducted. Results : The postoperative Rowe score was 87.3, while preoperative Rowe score was 28.4 and the Rowe score was improved significantly(p=0.000). There were 1 case of redislocation and 2 cases of limitation of motion in the shoulder. In prognostic factor analysis through Rowe scoring system. Rowe score of their age at a trauma under 20 years was greater than that of above 20 years and it was significant(p=0.023). Conclusion : It was thought that arthroscopic Bankart repair using suture anchor was one or useful treatment method for recurrent shoulder dislocation patients. It was considered that their age at initial trauma was the factor to affect a prognosis.

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Suture Anchor Capsulorraphy in the Traumatic Anterior Shoulder Instability: Open Versus Arthroscopic Technique (봉합나사를 이용한 Bankart 봉합술의 관절경적 및 개방적 수술의 비교)

  • Kim Seung-Ho;Ha Kwon-Ick;Kim Sang-Hyun
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.157-169
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    • 1999
  • Eighty-nine shoulders in eighty-eight patients with traumatic unilateral anterior shoulder instability were evaluated for Rowe and UCLA scores, recurrence, return to activity, and range of motion by an independent examiner at an average of 39 months after either arthroscopic or open Bankart repair using suture anchors. The arthroscopic technique included a minimum of 3 anchors, and a routine incorporation of capsular plication and proximal shift. Twenty­six shoulders(86.6%) out of thirty in the open Bankart repair group had excellent or good results while fifty­four(91.5%) of the fifty-nine shoulders with arthroscopic Bankart repair had excellent or good results. The arthroscopic group revealed significantly better results in the Rowe(p=.041) and UCLA scores(p=.026). Two shoulders in each group developed redislocation. There were no significant differences in the loss of external rotation and return to prior activity between the two groups(p>.05). The residual instability occurred more frequently in the group of patients with lesser anchors. Arthroscopic suture anchor capsulorraphy has results equal to or better than the open Bankart procedure.

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A Rehabilitation protocol for Arthroscopic Bankart repair in Korean Medicine : A Case Report (Bankart 병변의 관절경적 복원술 후 한방 재활치료 프로토콜을 적용하여 호전된 증례 보고)

  • Geum, Ji-Hye;Baek, Dong-gi;Lee, Jung-Han
    • The Journal of Korean Medicine
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    • v.40 no.3
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    • pp.177-187
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    • 2019
  • Objectives: The aim of this study was to report the clinical improvement of a patient who underwent arthroscopic Bankart repair using a rehabilitation protocol involving Korean medicine. Methods: The patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy, and Doin exercise therapy during the admission period. To estimate the patient's status, we used the Numeric Rating Scale (NRS), Pain Disability Index (PDI), assessments of the range of motion (ROM) and Muscle Manual Test (MMT) for the shoulder joint. Results: After administering the abovementioned treatments, we found that the patient's NRS, PDI, and ROM and MMT for the shoulder joint were improved. Conclusions: The rehabilitation protocol involving Korean medicine can be applied to and produce good results for patients who undergo arthroscopic repair for Bankart lesions. The limitation of the study was that the number of cases we studied was insufficient to prove the effectiveness. Hence, further studies are needed for designing the rehabilitation protocol involving Korean medicine.