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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2009

01-12-2009 | Shoulder

Arthroscopic repair of L-shaped tear of the anterior band of the inferior glenohumeral ligament complex in a pediatric patient: a technical note

Authors: Shane Jay Nho, Stefanie N. Reiff, Geoff S. Van Thiel, Anthony A. Romeo

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2009

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Abstract

The present study reports on a case of a 10-year-old patient with recurrent right shoulder instability after a traumatic event leading to a mid-substance tear of the anterior band of the inferior glenohumeral ligament complex in an L-shaped pattern. Arthroscopic repair consisting of a 2.4 mm bioabsorbable suture anchor at the apex and a four PDS sutures placed through the capsulolabral junction leads to an anatomic repair with excellent short-term results similar to those found in other studies. The injury pattern is thought to be about 1% of shoulder dislocations, but tear pattern recognition is critical for a successful repair and clinical result.
Literature
1.
go back to reference Brophy RH, Marx RG (2005) Osteoarthritis following shoulder instability. Clin Sports Med 24:47–56CrossRefPubMed Brophy RH, Marx RG (2005) Osteoarthritis following shoulder instability. Clin Sports Med 24:47–56CrossRefPubMed
2.
go back to reference Budoff JE, Wolf EM (2006) Arthroscopic treatment of glenohumeral instability. J Hand Surg [Am] 31:1387–1396CrossRef Budoff JE, Wolf EM (2006) Arthroscopic treatment of glenohumeral instability. J Hand Surg [Am] 31:1387–1396CrossRef
3.
go back to reference Deitch J, Mehlman CT, Foad SL, Obbehat A, Mallory M (2003) Traumatic anterior shoulder dislocation in adolescents. Am J Sports Med 31:758–763PubMed Deitch J, Mehlman CT, Foad SL, Obbehat A, Mallory M (2003) Traumatic anterior shoulder dislocation in adolescents. Am J Sports Med 31:758–763PubMed
4.
go back to reference Jones KJ, Wiesel B, Ganley TJ, Wells L (2007) Functional outcomes of early arthroscopic bankart repair in adolescents aged 11 to 18 years. J Pediatr Orthop 27:209–213PubMed Jones KJ, Wiesel B, Ganley TJ, Wells L (2007) Functional outcomes of early arthroscopic bankart repair in adolescents aged 11 to 18 years. J Pediatr Orthop 27:209–213PubMed
5.
go back to reference Kropf EJ, Tjoumakaris FP, Sekiya JK (2007) Arthroscopic shoulder stabilization: is there ever a need to open? Arthroscopy 23:779–784PubMedCrossRef Kropf EJ, Tjoumakaris FP, Sekiya JK (2007) Arthroscopic shoulder stabilization: is there ever a need to open? Arthroscopy 23:779–784PubMedCrossRef
6.
go back to reference Lawton RL, Choudhury S, Mansat P, Cofield RH, Stans AA (2002) Pediatric shoulder instability: presentation, findings, treatment, and outcomes. J Pediatr Orthop 22:52–61CrossRefPubMed Lawton RL, Choudhury S, Mansat P, Cofield RH, Stans AA (2002) Pediatric shoulder instability: presentation, findings, treatment, and outcomes. J Pediatr Orthop 22:52–61CrossRefPubMed
7.
go back to reference Marans HJ, Angel KR, Schemitsch EH, Wedge JH (1992) The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 74:1242–1244PubMed Marans HJ, Angel KR, Schemitsch EH, Wedge JH (1992) The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 74:1242–1244PubMed
8.
go back to reference Mizuno N, Yoneda M, Hayashida K, Nakagawa S, Mae T, Izawa K (2005) Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear. J Bone Joint Surg Am 87:2717–2723CrossRefPubMed Mizuno N, Yoneda M, Hayashida K, Nakagawa S, Mae T, Izawa K (2005) Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear. J Bone Joint Surg Am 87:2717–2723CrossRefPubMed
9.
go back to reference Parameswaran AD, Provencher MT, Bach BR Jr, Verma N, Romeo AA (2008) Humeral avulsion of the glenohumeral ligament: injury pattern and arthroscopic repair techniques. Orthopedics 31:773–779CrossRefPubMed Parameswaran AD, Provencher MT, Bach BR Jr, Verma N, Romeo AA (2008) Humeral avulsion of the glenohumeral ligament: injury pattern and arthroscopic repair techniques. Orthopedics 31:773–779CrossRefPubMed
10.
go back to reference Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 38:957–977PubMed Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 38:957–977PubMed
11.
go back to reference Ruckstuhl H, de Bruin ED, Stussi E, Vanwanseele B (2008) Post-traumatic glenohumeral cartilage lesions: a systematic review. BMC Musculoskelet Disord 9:107CrossRefPubMed Ruckstuhl H, de Bruin ED, Stussi E, Vanwanseele B (2008) Post-traumatic glenohumeral cartilage lesions: a systematic review. BMC Musculoskelet Disord 9:107CrossRefPubMed
12.
go back to reference Wright JM, Paletta GA Jr, Altchek DW, Crockett HC, Sherman MF (2000) Surgical management of posterior shoulder instability in a ten-year-old boy: a case report and literature review. Am J Orthop 29:633–637PubMed Wright JM, Paletta GA Jr, Altchek DW, Crockett HC, Sherman MF (2000) Surgical management of posterior shoulder instability in a ten-year-old boy: a case report and literature review. Am J Orthop 29:633–637PubMed
Metadata
Title
Arthroscopic repair of L-shaped tear of the anterior band of the inferior glenohumeral ligament complex in a pediatric patient: a technical note
Authors
Shane Jay Nho
Stefanie N. Reiff
Geoff S. Van Thiel
Anthony A. Romeo
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2009
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-0740-1

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