RESULTS FROM FILLING “REMPLISSAGE” ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION

Objective: To evaluate the clinical result from the filling (“remplissage”) technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation. Methods: Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior sh...

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Bibliographic Details
Published in:Revista brasileira de ortopedia (English ed.) 2011-11, Vol.46 (6), p.684-690
Main Authors: Gracitelli, Mauro Emilio Conforto, Helito, Camilo Partezani, Malavolta, Eduardo Angeli, Neto, Arnaldo Amado Ferreira, Benegas, Eduardo, Prada, Flávia de Santis, de Sousa, Augusto Tadeu Barros, Assunção, Jorge Henrique, Sunada, Edwin Eiji
Format: Article
Language:English
Subjects:
Arthroscopy
Joint Instability
Original
Recurrence
Shoulder Dislocation/epidemiology
Shoulder Dislocation/surgery
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Summary:Objective: To evaluate the clinical result from the filling (“remplissage”) technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation. Methods: Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior shoulder dislocation. All of them had a Bankart lesion, associated with a Hill-Sachs lesion showing the “engaging” sign. The Hill-Sachs lesion defect was measured and showed an average bone loss of 17.3% (7.7% to 26.7%) in relation to the diameter of the humeral head. All the cases underwent arthroscopic repair of the Bankart lesion, together with filling of the Hill-Sachs lesion by means of tenodesis of the infraspinatus. Results: The Rowe score ranged from 22.5 (10 to 45) before the operation to 80.5 (5 to 100) after the operation (p > 0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p > 0.001). The measurements of external and internal rotation at abduction of 90° after the operation were 63.5° (45° to 90°) and 73° (50° to 92°) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation. Conclusion: Over the short term, the filling (“remplissage”) arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions.
ISSN:2255-4971
2255-4971
DOI:10.1016/S2255-4971(15)30325-6