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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2012

01-11-2012 | Shoulder

Dislocation arthropathy and drill hole appearance in a mid- to long-term follow-up study after arthroscopic Bankart repair

Authors: Anna Ostberg Elmlund, Lars Ejerhed, Ninni Sernert, Lars Christensen Rostgård, Jüri Kartus

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2012

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Abstract

Purpose

The aim of this study was to perform a prospective mid- to long-term clinical and radiographic follow-up after arthroscopic Bankart repair using absorbable tacks with special emphasis on the development of dislocation arthropathy.

Methods

Thirty-four shoulders in 32 patients with post-traumatic shoulder instability were included in the study. Clinical and radiographic follow-ups took place after approximately 2 and 8 years.

Results

Thirty-four of 34 (100 %) shoulders in 32 patients returned for the follow-up examination after 95 (53–129) months. Pre-operatively, none of the shoulders had any arthropathy changes. At follow-up, 8/34 (24 %) had minor changes, 6/34 (18 %) had moderate changes, and none had severe arthropathy changes, a significant increment compared with the pre-operative figures (p = 0.005). At follow-up, the drill holes in 24 % of the shoulders still had not healed radiographically. The failure rate in terms of stability was 3/34 (9 %) re-dislocations and 3/34 (9 %) subluxations.

Conclusion

Eight years after arthroscopic Bankart repair using absorbable tacks, 41 % of the shoulders displayed some degree of radiographic arthropathy changes and in 24 % the drill holes had not yet radiographically healed. There was no correlation between clinical outcome or drill hole appearance and the development of arthropathy changes.

Level of evidence

III.
Literature
1.
go back to reference Auffarth A, Kralinger F, Resch H (2011) Anatomical glenoid reconstruction via a J-bone graft for recurrent post-traumatic anterior shoulder dislocation. Oper Orthop Traumatol 23(5):453–461PubMedCrossRef Auffarth A, Kralinger F, Resch H (2011) Anatomical glenoid reconstruction via a J-bone graft for recurrent post-traumatic anterior shoulder dislocation. Oper Orthop Traumatol 23(5):453–461PubMedCrossRef
2.
go back to reference Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH (2006) Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 34(11):1730–1737PubMedCrossRef Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH (2006) Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 34(11):1730–1737PubMedCrossRef
3.
go back to reference Brophy RH, Marx RG (2009) The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy 25(3):298–304PubMedCrossRef Brophy RH, Marx RG (2009) The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy 25(3):298–304PubMedCrossRef
4.
go back to reference Buscayret F, Edwards TB, Szabo I, Adeleine P, Coudane H, Walch G (2004) Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med 32(5):1165–1172PubMedCrossRef Buscayret F, Edwards TB, Szabo I, Adeleine P, Coudane H, Walch G (2004) Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med 32(5):1165–1172PubMedCrossRef
5.
go back to reference Castagna A, Markopoulos N, Conti M, Rose GD, Papadakou E, Garofalo R (2010) Arthroscopic Bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 38(10):2012–2016PubMedCrossRef Castagna A, Markopoulos N, Conti M, Rose GD, Papadakou E, Garofalo R (2010) Arthroscopic Bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 38(10):2012–2016PubMedCrossRef
6.
go back to reference Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed
7.
go back to reference Elmlund A, Kartus C, Sernert N, Hultenheim I, Ejerhed L (2008) A long-term clinical follow-up study after arthroscopic intra-articular Bankart repair using absorbable tacks. Knee Surg Sports Traumatol Arthrosc 16(7):707–712PubMedCrossRef Elmlund A, Kartus C, Sernert N, Hultenheim I, Ejerhed L (2008) A long-term clinical follow-up study after arthroscopic intra-articular Bankart repair using absorbable tacks. Knee Surg Sports Traumatol Arthrosc 16(7):707–712PubMedCrossRef
8.
go back to reference Elmlund AO, Kartus J, Rostgard-Christensen L, Sernert N, Magnusson L, Ejerhed L (2009) A 7-year prospective, randomized, clinical, and radiographic study after arthroscopic Bankart reconstruction using 2 different types of absorbable tack. Am J Sports Med 37(10):1930–1937PubMedCrossRef Elmlund AO, Kartus J, Rostgard-Christensen L, Sernert N, Magnusson L, Ejerhed L (2009) A 7-year prospective, randomized, clinical, and radiographic study after arthroscopic Bankart reconstruction using 2 different types of absorbable tack. Am J Sports Med 37(10):1930–1937PubMedCrossRef
9.
go back to reference Emami MJ, Solooki S, Meshksari Z, Vosoughi AR (2011) The effect of open Bristow-Latarjet procedure for anterior shoulder instability: a 10-year study. Musculoskelet Surg 95(3):231–235PubMedCrossRef Emami MJ, Solooki S, Meshksari Z, Vosoughi AR (2011) The effect of open Bristow-Latarjet procedure for anterior shoulder instability: a 10-year study. Musculoskelet Surg 95(3):231–235PubMedCrossRef
10.
go back to reference Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD (2004) Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy 20(5):456–462PubMedCrossRef Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD (2004) Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy 20(5):456–462PubMedCrossRef
11.
go back to reference Fabre T, Abi-Chahla ML, Billaud A, Geneste M, Durandeau A (2010) Long-term results with Bankart procedure: a 26-year follow-up study of 50 cases. J Shoulder Elbow Surg 19(2):318–323PubMedCrossRef Fabre T, Abi-Chahla ML, Billaud A, Geneste M, Durandeau A (2010) Long-term results with Bankart procedure: a 26-year follow-up study of 50 cases. J Shoulder Elbow Surg 19(2):318–323PubMedCrossRef
12.
go back to reference Franceschi F, Papalia R, Del Buono A, Vasta S, Maffulli N, Denaro V (2011) Glenohumeral osteoarthritis after arthroscopic Bankart repair for anterior instability. Am J Sports Med 39(8):1653–1659PubMedCrossRef Franceschi F, Papalia R, Del Buono A, Vasta S, Maffulli N, Denaro V (2011) Glenohumeral osteoarthritis after arthroscopic Bankart repair for anterior instability. Am J Sports Med 39(8):1653–1659PubMedCrossRef
13.
go back to reference Hawkins RJ, Angelo RL (1990) Glenohumeral osteoarthrosis. A late complication of the Putti-Platt repair. J Bone Joint Surg Am 72(8):1193–1197PubMed Hawkins RJ, Angelo RL (1990) Glenohumeral osteoarthrosis. A late complication of the Putti-Platt repair. J Bone Joint Surg Am 72(8):1193–1197PubMed
14.
go back to reference Hindmarsh J, Lindberg A (1967) Eden-Hybbinette’s operation for recurrent dislocation of the humero-scapular joint. Acta Orthop Scand 38(4):459–478PubMedCrossRef Hindmarsh J, Lindberg A (1967) Eden-Hybbinette’s operation for recurrent dislocation of the humero-scapular joint. Acta Orthop Scand 38(4):459–478PubMedCrossRef
15.
go back to reference Hovelius L, Saeboe M (2009) Neer Award 2008: arthropathy after primary anterior shoulder dislocation-223 shoulders prospectively followed up for 25 years. J Shoulder Elbow Surg 18(3):339–347PubMedCrossRef Hovelius L, Saeboe M (2009) Neer Award 2008: arthropathy after primary anterior shoulder dislocation-223 shoulders prospectively followed up for 25 years. J Shoulder Elbow Surg 18(3):339–347PubMedCrossRef
16.
go back to reference Hovelius L, Sandstrom B, Olofsson A, Svensson O, Rahme H (2012) The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg 21(5):647–660PubMedCrossRef Hovelius L, Sandstrom B, Olofsson A, Svensson O, Rahme H (2012) The effect of capsular repair, bone block healing, and position on the results of the Bristow-Latarjet procedure (study III): long-term follow-up in 319 shoulders. J Shoulder Elbow Surg 21(5):647–660PubMedCrossRef
17.
go back to reference Hovelius L, Sandstrom B, Saebo M (2006) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for 15 years: study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg 15(3):279–289PubMedCrossRef Hovelius L, Sandstrom B, Saebo M (2006) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for 15 years: study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg 15(3):279–289PubMedCrossRef
18.
go back to reference Ilg A, Bankes MJ, Emery RJ (2001) The intra- and inter-observer reliability of the Samilson and Prieto grading system of glenohumeral arthropathy. Knee Surg Sports Traumatol Arthrosc 9(3):187–190PubMedCrossRef Ilg A, Bankes MJ, Emery RJ (2001) The intra- and inter-observer reliability of the Samilson and Prieto grading system of glenohumeral arthropathy. Knee Surg Sports Traumatol Arthrosc 9(3):187–190PubMedCrossRef
19.
go back to reference Karlsson J, Magnusson L, Ejerhed L, Hultenheim I, Lundin O, Kartus J (2001) Comparison of open and arthroscopic stabilization for recurrent shoulder dislocation in patients with a Bankart lesion. Am J Sports Med 29(5):538–542PubMed Karlsson J, Magnusson L, Ejerhed L, Hultenheim I, Lundin O, Kartus J (2001) Comparison of open and arthroscopic stabilization for recurrent shoulder dislocation in patients with a Bankart lesion. Am J Sports Med 29(5):538–542PubMed
20.
go back to reference Kartus J, Ejerhed L, Funck E, Kohler K, Sernert N, Karlsson J (1998) Arthroscopic and open shoulder stabilization using absorbable implants. A clinical and radiographic comparison of two methods. Knee Surg Sports Traumatol Arthrosc 6(3):181–188PubMedCrossRef Kartus J, Ejerhed L, Funck E, Kohler K, Sernert N, Karlsson J (1998) Arthroscopic and open shoulder stabilization using absorbable implants. A clinical and radiographic comparison of two methods. Knee Surg Sports Traumatol Arthrosc 6(3):181–188PubMedCrossRef
21.
go back to reference Kartus J, Kartus C, Povacz P, Forstner R, Ejerhed L, Resch H (2001) Unbiased evaluation of the arthroscopic extra-articular technique for Bankart repair: a clinical and radiographic study with a 2- to 5-year follow-up. Knee Surg Sports Traumatol Arthrosc 9(2):109–115PubMedCrossRef Kartus J, Kartus C, Povacz P, Forstner R, Ejerhed L, Resch H (2001) Unbiased evaluation of the arthroscopic extra-articular technique for Bankart repair: a clinical and radiographic study with a 2- to 5-year follow-up. Knee Surg Sports Traumatol Arthrosc 9(2):109–115PubMedCrossRef
22.
go back to reference Lehmann L, Magosch P, Mauermann E, Lichtenberg S, Habermeyer P (2010) Total shoulder arthroplasty in dislocation arthropathy. Int Orthop 34(8):1219–1225PubMedCrossRef Lehmann L, Magosch P, Mauermann E, Lichtenberg S, Habermeyer P (2010) Total shoulder arthroplasty in dislocation arthropathy. Int Orthop 34(8):1219–1225PubMedCrossRef
23.
go back to reference Magnusson L (2005) Post-traumatic recurrent anterior shoulder instability. Aspects of surgical techniques, implants and diagnostic methods. PhD Thesis, Gothenburg University. ISBN: 91-628-6466-1 Magnusson L (2005) Post-traumatic recurrent anterior shoulder instability. Aspects of surgical techniques, implants and diagnostic methods. PhD Thesis, Gothenburg University. ISBN: 91-628-6466-1
24.
go back to reference Marx RG, McCarty EC, Montemurno TD, Altchek DW, Craig EV, Warren RF (2002) Development of arthrosis following dislocation of the shoulder: a case-control study. J Shoulder Elbow Surg 11(1):1–5PubMedCrossRef Marx RG, McCarty EC, Montemurno TD, Altchek DW, Craig EV, Warren RF (2002) Development of arthrosis following dislocation of the shoulder: a case-control study. J Shoulder Elbow Surg 11(1):1–5PubMedCrossRef
25.
go back to reference Matsoukis J, Tabib W, Guiffault P, Mandelbaum A, Walch G, Nemoz C, Edwards TB (2003) Shoulder arthroplasty in patients with a prior anterior shoulder dislocation. Results of a multicenter study. J Bone Joint Surg Am 85-A(8):1417–1424PubMed Matsoukis J, Tabib W, Guiffault P, Mandelbaum A, Walch G, Nemoz C, Edwards TB (2003) Shoulder arthroplasty in patients with a prior anterior shoulder dislocation. Results of a multicenter study. J Bone Joint Surg Am 85-A(8):1417–1424PubMed
26.
go back to reference Milano G, Grasso A, Santagada DA, Saccomanno MF, Deriu L, Fabbriciani C (2010) Comparison between metal and biodegradable suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 18(12):1785–1791PubMedCrossRef Milano G, Grasso A, Santagada DA, Saccomanno MF, Deriu L, Fabbriciani C (2010) Comparison between metal and biodegradable suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 18(12):1785–1791PubMedCrossRef
27.
go back to reference Ogawa K, Yoshida A, Ikegami H (2006) Osteoarthritis in shoulders with traumatic anterior instability: pre-operative survey using radiography and computed tomography. J Shoulder Elbow Surg 15(1):23–29PubMedCrossRef Ogawa K, Yoshida A, Ikegami H (2006) Osteoarthritis in shoulders with traumatic anterior instability: pre-operative survey using radiography and computed tomography. J Shoulder Elbow Surg 15(1):23–29PubMedCrossRef
28.
go back to reference Ogawa K, Yoshida A, Matsumoto H, Takeda T (2010) Outcome of the open Bankart procedure for shoulder instability and development of osteoarthritis: a 5- to 20-year follow-up study. Am J Sports Med 38(8):1549–1557PubMedCrossRef Ogawa K, Yoshida A, Matsumoto H, Takeda T (2010) Outcome of the open Bankart procedure for shoulder instability and development of osteoarthritis: a 5- to 20-year follow-up study. Am J Sports Med 38(8):1549–1557PubMedCrossRef
29.
go back to reference Papalia R, Osti L, Del Buono A, Denaro V, Maffulli N (2010) Glenohumeral arthropathy following stabilization for recurrent instability. Br Med Bull 96:75–92PubMedCrossRef Papalia R, Osti L, Del Buono A, Denaro V, Maffulli N (2010) Glenohumeral arthropathy following stabilization for recurrent instability. Br Med Bull 96:75–92PubMedCrossRef
30.
go back to reference Petrera M, Patella V, Patella S, Theodoropoulos J (2010) A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatol Arthrosc 18(12):1742–1747PubMedCrossRef Petrera M, Patella V, Patella S, Theodoropoulos J (2010) A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatol Arthrosc 18(12):1742–1747PubMedCrossRef
31.
go back to reference Rachbauer F, Ogon M, Wimmer C, Sterzinger W, Huter B (2000) Glenohumeral osteoarthrosis after the Eden-Hybbinette procedure. Clin Orthop Relat Res 373:135–140PubMedCrossRef Rachbauer F, Ogon M, Wimmer C, Sterzinger W, Huter B (2000) Glenohumeral osteoarthrosis after the Eden-Hybbinette procedure. Clin Orthop Relat Res 373:135–140PubMedCrossRef
32.
go back to reference Rahme H, Wikblad L, Nowak J, Larsson S (2003) Long-term clinical and radiologic results after Eden-Hybbinette operation for anterior instability of the shoulder. J Shoulder Elbow Surg 12(1):15–19PubMedCrossRef Rahme H, Wikblad L, Nowak J, Larsson S (2003) Long-term clinical and radiologic results after Eden-Hybbinette operation for anterior instability of the shoulder. J Shoulder Elbow Surg 12(1):15–19PubMedCrossRef
33.
go back to reference Rahme H, Vikerfors O, Ludvigsson L, Elven M, Michaelsson K (2010) Loss of external rotation after open Bankart repair: an important prognostic factor for patient satisfaction. Knee Surg Sports Traumatol Arthrosc 18(3):404–408PubMedCrossRef Rahme H, Vikerfors O, Ludvigsson L, Elven M, Michaelsson K (2010) Loss of external rotation after open Bankart repair: an important prognostic factor for patient satisfaction. Knee Surg Sports Traumatol Arthrosc 18(3):404–408PubMedCrossRef
34.
go back to reference Rosenberg BN, Richmond JC, Levine WN (1995) Long-term followup of Bankart reconstruction. Incidence of late degenerative glenohumeral arthrosis. Am J Sports Med 23(5):538–544PubMedCrossRef Rosenberg BN, Richmond JC, Levine WN (1995) Long-term followup of Bankart reconstruction. Incidence of late degenerative glenohumeral arthrosis. Am J Sports Med 23(5):538–544PubMedCrossRef
35.
go back to reference Rowe CR (1988) Evaluation of the shoulder. In: The Shoulder. Churchill Livingstone, New York, p 631–637 Rowe CR (1988) Evaluation of the shoulder. In: The Shoulder. Churchill Livingstone, New York, p 631–637
36.
go back to reference Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460PubMed Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460PubMed
37.
go back to reference Solomon DJ, Navaie M, Stedje-Larsen ET, Smith JC, Provencher MT (2009) Glenohumeral chondrolysis after arthroscopy: a systematic review of potential contributors and causal pathways. Arthroscopy 25(11):1329–1342PubMedCrossRef Solomon DJ, Navaie M, Stedje-Larsen ET, Smith JC, Provencher MT (2009) Glenohumeral chondrolysis after arthroscopy: a systematic review of potential contributors and causal pathways. Arthroscopy 25(11):1329–1342PubMedCrossRef
38.
go back to reference Speer KP, Warren RF, Pagnani M, Warner JJ (1996) An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78(12):1801–1807PubMed Speer KP, Warren RF, Pagnani M, Warner JJ (1996) An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78(12):1801–1807PubMed
39.
go back to reference van der Zwaag HM, Brand R, Obermann WR, Rozing PM (1999) Glenohumeral osteoarthrosis after Putti-Platt repair. J Shoulder Elbow Surg 8(3):252–258PubMedCrossRef van der Zwaag HM, Brand R, Obermann WR, Rozing PM (1999) Glenohumeral osteoarthrosis after Putti-Platt repair. J Shoulder Elbow Surg 8(3):252–258PubMedCrossRef
40.
go back to reference Warner JJ, Warren RF (1991) Arthroscopic Bankart repair using a cannulated, absorbable fixation device. Oper Tech Orthop 1(2):192–198CrossRef Warner JJ, Warren RF (1991) Arthroscopic Bankart repair using a cannulated, absorbable fixation device. Oper Tech Orthop 1(2):192–198CrossRef
41.
go back to reference Zaffagnini S, Marcheggiani Muccioli GM, Giordano G, Bonanzinga T, Grassi A, Nitri M, Bruni D, Ravazzolo G, Marcacci M (2012) Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction. Knee Surg Sports Traumatol Arthrosc 20(5):816–821PubMedCrossRef Zaffagnini S, Marcheggiani Muccioli GM, Giordano G, Bonanzinga T, Grassi A, Nitri M, Bruni D, Ravazzolo G, Marcacci M (2012) Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction. Knee Surg Sports Traumatol Arthrosc 20(5):816–821PubMedCrossRef
42.
go back to reference Zuckerman JD, Matsen FA 3rd (1984) Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am 66(2):175–180PubMed Zuckerman JD, Matsen FA 3rd (1984) Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg Am 66(2):175–180PubMed
Metadata
Title
Dislocation arthropathy and drill hole appearance in a mid- to long-term follow-up study after arthroscopic Bankart repair
Authors
Anna Ostberg Elmlund
Lars Ejerhed
Ninni Sernert
Lars Christensen Rostgård
Jüri Kartus
Publication date
01-11-2012
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2076-5

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