Journal of Orthopedics and Joint Surgery

Register      Login

VOLUME 6 , ISSUE 1 ( January-June, 2024 ) > List of Articles

ORIGINAL RESEARCH ARTICLE

Outcomes of Arthroscopic Posterior Capsulolabral Repair in Patients with Traumatic Recurrent Posterior Instability of Shoulder

Bharath Sekar, Jeganathan Parthiban, Sanjay Ayyakkannu Kasthuri Ranganathan, Suresh Perumal

Keywords : Arthroscopic intervention, Labral repair, Posterior shoulder instability

Citation Information : Sekar B, Parthiban J, Ranganathan SA, Perumal S. Outcomes of Arthroscopic Posterior Capsulolabral Repair in Patients with Traumatic Recurrent Posterior Instability of Shoulder. 2024; 6 (1):35-38.

DOI: 10.5005/jojs-10079-1139

License: CC BY-NC 4.0

Published Online: 12-01-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Introduction: Recurrent posterior subluxation is most frequently caused by microtrauma to the posterior capsulolabral shoulder complex. Patients with posterior shoulder instability typically have agonizing discomfort and weakness around the shoulder joint. Aim: To evaluate the outcomes of arthroscopic posterior labral repair in a patient with traumatic recurrent posterior shoulder dislocation. Materials and methods: Our study was conducted among 39 participants with traumatic posterior instability and assessed with UCLA, ROWE, QuickDASH, and Constant–Murley scores both preoperatively (pre-op) and after arthroscopic stabilization. Patients were followed up for 6 months and 1 year. Results: The mean and standard deviation (SD) age was 35.34 ± 4.72. The mean scores from UCLA, ROWE, QuickDASH, and Constant–Murley scores were improved and found to be better after an arthroscopic intervention. QuickDASH and Constant–Murley scores were found to be significant. Conclusion: In our study, we found that arthroscopic posterior shoulder stabilization produces excellent clinical results, high levels of patient satisfaction, and few complications.


PDF Share
  1. Lee KH, Soeharno H, Chew CP, et al. Arthroscopic bankart repair augmented by plication of the inferior glenohumeral ligament via horizontal mattress suturing for traumatic shoulder instability. Singapore Med J 2013;54(10):555–559. DOI: 10.11622/smedj.2013199
  2. Karpinski K, Akgün D, Gebauer H, et al. Arthroscopic posterior capsulolabral repair with suture-first versus anchor-first technique in patients with posterior shoulder instability (type B2): clinical midterm follow-up. Orthop J Sports Med 2023;11(5):23259671221146167. DOI: 10.1177/23259671221146167
  3. Posterior shoulder instability. Synopsis of Shoulder Surgery. 2021.
  4. Wolf E, Pennington W. Posterior shoulder instability. Atlas Shoulder Arthroscop 2003;175–180. DOI: 10.1201/b14319-21
  5. Maalouly J, Aouad D, Darwish M, et al. Arthroscopic repair for posterior shoulder instability: case series and surgical outcome. Int J Surg Case Rep 2020;74:177–181. DOI: 10.1016/j.ijscr.2020.07.061
  6. [Internet]. [cited 2023 Sept 29]. Available from: https://orthopaedicscore.com/scorepages/ucla_shoulder_score.html
  7. [Internet]. [cited 2023 Sept 29]. Available from: https://cdn-links.lww.com/permalink/jbjs/c/jbjs_2017_03_10_boileau_1755_sdc1.pdf
  8. Scoring instructions [Internet]. [cited 2023 Oct 16]. Available from: https://dash.iwh.on.ca/scoring#:~:text=Scoring%20the%20QuickDASH,%2C%20scored%201%2D5).
  9. Constant-Murley shoulder outcome score [Internet]. [cited 2023 Oct 16]. Available from: https://www.physio-pedia.com/Constant-Murley_Shoulder_Outcome_Score
  10. Garcia JC Jr, Maia LR, Fonseca JR, et al. Evaluation of arthroscopic treatment of posterior shoulder instability. Acta Ortop Bras 2015;23(3):134–137. DOI: 10.1590/1413-78522015230300540
  11. Schwartz DG, Goebel S, Piper K, et al. Arthroscopic posterior bone block augmentation in posterior shoulder instability. J Shoulder Elbow Surg 2013;22(8):1092–1101. DOI: 10.1016/j.jse.2012.09.011
  12. Das A, Bhowmick S, Das N, et al. Functional outcome of arthroscopic bankart repair in post-traumatic recurrent shoulder dislocation in a private tertiary care teaching hospital in Eastern India. Int J Res Orthop 2020;6(6):1233. DOI: 10.18203/issn.2455-4510.intjresorthop20204590
  13. Russo R, Della Rotonda G, Cautiero F, et al. Arthroscopic bankart repair associated with subscapularis augmentation (ASA) versus open Latarjet to treat recurrent anterior shoulder instability with moderate glenoid bone loss: clinical comparison of two series. Musculoskelet Surg 2017;101(1):75–83. DOI: 10.1007/s12306-016-0446-8
  14. Engelsma Y, Willems WJ. Arthroscopic stabilization of posterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 2010;18(12):1762–1766. DOI: 10.1007/s00167-010-1110-8
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.