Anterior Shoulder Stabilization in Collision Athletes: Arthroscopic Versus Open Bankart Repair

Background Collision athletes are reported to be at high risk for redislocation after anterior stabilization of shoulder instability. Some authors have suggested that arthroscopic stabilization produces results similar to those of open stabilization. Purpose To evaluate the results of anterior shoul...

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Bibliographic Details
Published in:The American journal of sports medicine 2006-06, Vol.34 (6), p.979-985
Main Authors: Rhee, Yong Girl, Ha, Jeong Han, Cho, Nam Su
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthroplasty - adverse effects
Arthroplasty - methods
Arthroscopy
Arthroscopy - adverse effects
Arthroscopy - methods
Athletes
Athletic Injuries - diagnostic imaging
Athletic Injuries - surgery
Biological and medical sciences
Care and treatment
Comparative analysis
Diseases of the osteoarticular system
Dislocation
Endoscopy
Female
Health aspects
Humans
Investigative techniques, diagnostic techniques (general aspects)
Joint Instability - diagnostic imaging
Joint Instability - surgery
Male
Medical sciences
Orthopedics
Radiography
Range of Motion, Articular
Recovery of Function
Risk factors
Shoulder
Shoulder dislocation
Shoulder injuries
Shoulder joint
Shoulder Joint - diagnostic imaging
Shoulder Joint - surgery
Sports injuries
Sports medicine
Surgery
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Summary:Background Collision athletes are reported to be at high risk for redislocation after anterior stabilization of shoulder instability. Some authors have suggested that arthroscopic stabilization produces results similar to those of open stabilization. Purpose To evaluate the results of anterior shoulder stabilization in collision athletes and to compare the clinical results between the arthroscopic and open methods. Hypothesis Open stabilization might produce better results than does arthroscopic stabilization in collision athletes. Study Design Cohort study; Level of evidence, 4. Methods Forty-eight shoulders of 46 collision athletes were enrolled for this study. The mean age of the patients at the time of surgery was 20 years, and the mean follow-up period was 72 months (range, 30-136 months). Sixteen shoulders underwent arthroscopic stabilization; 32 shoulders had open repairs. Results Visual analog scale, Rowe, and Constant scores improved after surgery, but no statistically significant difference was found between the arthroscopic and open repair groups. Thirty-seven athletes (83%) returned to near-preinjury sports activity levels (90% recovery) after operation. Two patients (4%) had subluxation and 6 (12.5%) had redislocation after surgery. The number of shoulders with postoperative subluxation or dislocation was 4 (25%) in the arthroscopic group and 4 (12.5%) in the open group (P = .041). Revision surgery was performed on 5 shoulders (10.4%). Conclusions There were 8 (16.5%) instances of postoperative instability among the collision athletes studied. The arthroscopic group yielded a higher failure rate than did the open group. The authors believe open stabilization to be a more reliable method for anterior shoulder instability in collision athletes.
ISSN:0363-5465
1552-3365
DOI:10.1177/0363546505283267