پزشکی بالینی ابن سینا (Mar 2010)
Treatment of Anterior Shoulder Instability with Inside-to-Out Technique
Abstract
Introduction & Objective: Shoulder joint is the most common articular dislocations in the body. There are many surgical techniques for the treatment of recurrent shoulder dislocation. The aim of the study is to evaluate the short-term results of surgical technique of modified Bankart repair for recurrent anterior shoulder instability. Materials & Methods: Twenty patients underwent an operation at Tabriz Shohada hospital, from May 2005 to december 2007 and were followed up for at least 18 months. The data was analyzed by descriptive statistical methods. Results: There were 85% male and 15% female participants in the study, with the average age of 24.7 years(14-46years). The mean number of dislocation episode before surgery was 6 (3-11). Two had minor glenoid rim fracture. There was no case of rotator cuff tear. During the follow up after surgery, two patients had recurrence of dislocation. The mean Rowe score was 94 and no infection or neurological complication was reported. Average external rotation loss was 5º. Conclusion: According to the above-mentioned data, modified bankart procedure is an acceptable method for treatment of recurrent dislocation of the shoulder.