Bankart Procedure Augmented by Coracoid Transfer for Contact Athletes with Traumatic Anterior Shoulder Instability

We investigated the clinical efficacy of the Bankart procedure augmented by coracoid transfer for traumatic anterior shoulder instability in athletes playing contact sports. Eighty-three athletes (85 joints) with traumatic anterior shoulder instability who underwent the combined procedure were studied. The mean patient age at surgery was 21 years, and the mean follow-up period was 5.8 years (range, 2 to 12). According to the Rowe scoring system, the clinical results were graded as excellent for 58 shoulders, good for 21, fair for 5, and poor for 1, with an average score of 91 points. The overall success rate was 93%. A complete return to contact sports was achieved by 73 of the 83 patients (88%). The average loss of external rotation was 15° with the arm at the side and 7° with the arm in 90° of abduction. The complications were nonunions in two cases, screw breakage in one case, and axillary nerve injury in one. This procedure can achieve a good clinical outcome for contact athletes with traumatic anterior shoulder instability.

[1]  F. Savoie,et al.  Arthroscopic Bankart repair in a high demand patient population. , 1997, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[2]  K. Shino,et al.  A simple and secure anchoring system for Caspari's transglenoid multiple suture technique using a biodegradable poly-l-lactic acid button. , 1996, Arthroscopy: The Journal of Arthroscopy And Related.

[3]  R. Hawkins,et al.  Classification and physical diagnosis of instability of the shoulder. , 1993, Clinical orthopaedics and related research.

[4]  A. Bankart.  RECURRENT OR HABITUAL DISLOCATION OF THE SHOULDER-JOINT. , 1993, British medical journal.

[5]  F A Matsen,et al.  An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability. , 1989, The Journal of bone and joint surgery. American volume.

[6]  H. Tullos,et al.  A modification of the Bristow procedure for recurrent anterior shoulder dislocation and subluxation , 1985, The American journal of sports medicine.

[7]  F. Jobe,et al.  The modified Bristow-Helfet procedure for recurrent anterior shoulder subluxations and dislocations , 1981, The American journal of sports medicine.

[8]  F. Jobe,et al.  The modified Bristow procedure for recurrent dislocation of the shoulder. , 1976, The Journal of bone and joint surgery. American volume.

[9]  V. R. May.  A modified Bristow operation for anterior recurrent dislocation of the shoulder. , 1970, The Journal of bone and joint surgery. American volume.

[10]  A. J. Helfet.  Coracoid transplantation for recurring dislocation of the shoulder. , 1958, The Journal of bone and joint surgery. British volume.

[11]  T. P. Goss.  Anterior glenohumeral instability. , 1988, Orthopedics.

[12]  C. Rowe,et al.  The Bankart procedure: a long-term end-result study. , 1978, The Journal of bone and joint surgery. American volume.