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Knee Surgery, Sports Traumatology, Arthroscopy

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01-12-2013 | Shoulder

Arthroscopic management of anterior shoulder instability with glenoid bone defects

Authors: Frank Martetschläger, Tobias M. Kraus, Philippe Hardy, Peter J. Millett

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2013

Abstract

Bony deficiency of the anterior glenoid rim may significantly contribute to recurrent shoulder instability. Today, based on clinical and biomechanical data, a bony reconstruction is recommended in patients with bone loss of greater than 20–25 % of the glenoid surface area. Recent advances in arthroscopic instruments and techniques presently allow minimally invasive and arthroscopic reconstruction of glenoid bone defects and osteosynthesis of glenoid fractures. This article underlines the role of glenoid bone deficiency in recurrent shoulder instability, provides an update on the current management regarding this pathology and highlights the modern techniques for surgical treatment. Therefore, it can help orthopaedic surgeons in the treatment and decision-making when dealing with these difficult to treat patients in daily clinical practice.

Level of evidence V.

Agneskirchner JD, Haag M, Lafosse L (2011) Arthroscopic coracoid transfer: indications, technique and initial results. Orthopade 40(1):41–51PubMedCrossRef

Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80(6):841–852PubMed

Auffarth A, Schauer J, Matis N, Kofler B, Hitzl W, Resch H (2008) The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med 36(4):638–647PubMedCrossRef

Balg F, Boileau P (2007) The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br 89(11):1470–1477PubMed

Bauer T, Abadie O, Hardy P (2006) Arthroscopic treatment of glenoid fractures. Arthroscopy 22(5):596 e561–596 e566

Bernageau J, Patte D, Debeyre J, Ferrane J (1976) Value of the glenoid profil in recurrent luxations of the shoulder. Rev Chir Orthop Reparatrice Appar Mot 62(2 suppl):142–147PubMed

Bigliani LU, Newton PM, Steinmann SP, Connor PM, McLlveen SJ (1998) Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med 26(1):41–45PubMed

Boileau P, Bicknell RT, El Fegoun AB, Chuinard C (2007) Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the “belt-and-suspenders” operative technique and preliminary results. Arthroscopy 23(6):593–601PubMedCrossRef

Boileau P, O’Shea K, Vargas P, Pinedo M, Old J, Zumstein M (2012) Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg Am 94(7):618–626PubMedCrossRef

10.

Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16(7):677–694PubMedCrossRef

11.

Burkhart SS, De Beer JF, Barth JR, Cresswell T, Roberts C, Richards DP (2007) Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy 23(10):1033–1041PubMedCrossRef

12.

Burkhart SS, Debeer JF, Tehrany AM, Parten PM (2002) Quantifying glenoid bone loss arthroscopically in shoulder instability. Arthroscopy 18(5):488–491PubMedCrossRef

13.

Bushnell BD, Creighton RA, Herring MM (2007) Hybrid treatment of engaging Hill-Sachs lesions: arthroscopic capsulolabral repair and limited posterior approach for bone-grafting. Tech Should Elbow Surg 8:194–203CrossRef

14.

Bushnell BD, Creighton RA, Herring MM (2008) Bony instability of the shoulder. Arthroscopy 24(9):1061–1073PubMedCrossRef

15.

Chuang TY, Adams CR, Burkhart SS (2008) Use of preoperative three-dimensional computed tomography to quantify glenoid bone loss in shoulder instability. Arthroscopy 24(4):376–382PubMedCrossRef

16.

Gagey OJ, Gagey N (2001) The hyperabduction test. J Bone Joint Surg Br 83(1):69–74PubMedCrossRef

17.

Gerber C, Nyffeler RW (2002) Classification of glenohumeral joint instability. Clin Orthop Relat Res 400:65–76PubMedCrossRef

18.

Greis PE, Scuderi MG, Mohr A, Bachus KN, Burks RT (2002) Glenohumeral articular contact areas and pressures following labral and osseous injury to the anteroinferior quadrant of the glenoid. J Should Elbow Surg 11(5):442–451CrossRef

19.

Helfet AJ (1958) Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg Br 40-B(2):198–202PubMed

20.

Hill JA, Lombardo SJ, Kerlan RK, Jobe FW, Carter VS, Shields CL Jr, Collins HR, Yocum LA (1981) The modification Bristow–Helfet procedure for recurrent anterior shoulder subluxations and dislocations. Am J Sports Med 9(5):283–287PubMedCrossRef

21.

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 Should Elbow Surg 21(5):647–660CrossRef

22.

Hovelius L, Vikerfors O, Olofsson A, Svensson O, Rahme H (2011) Bristow–Latarjet and Bankart: a comparative study of shoulder stabilization in 185 shoulders during a 17-year follow-up. J Should Elbow Surg 20(7):1095–1101CrossRef

23.

Itoi E, Lee SB, Berglund LJ, Berge LL, An KN (2000) The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am 82(1):35–46PubMed

24.

Jouve F, Schlur C, Klouche S, Bauer T, Rousselin B, Hardy P (2011) SHART: shoulder hyperabduction radiological test. Knee Surg Sports Traumatol Arthrosc 19(12):2080–2084PubMedCrossRef

25.

Kim KC, Rhee KJ, Shin HD (2009) Arthroscopic three-point double-row repair for acute bony Bankart lesions. Knee Surg Sports Traumatol Arthrosc 17(1):102–106PubMedCrossRef

26.

Koo SS, Burkhart SS, Ochoa E (2009) Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs. Arthroscopy 25(11):1343–1348PubMedCrossRef

27.

Lafosse L, Boyle S (2010) Arthroscopic Latarjet procedure. J Should Elbow Surg 19(2 Suppl):2–12CrossRef

28.

Lafosse L, Boyle S, Gutierrez-Aramberri M, Shah A, Meller R (2010) Arthroscopic Latarjet procedure. Orthop Clin North Am 41(3):393–405PubMedCrossRef

29.

Lafosse L, Lejeune E, Bouchard A, Kakuda C, Gobezie R, Kochhar T (2007) The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy 23(11):1242 e1241–1242 e1245

30.

Lippitt S, Matsen F (1993) Mechanisms of glenohumeral joint stability. Clin Orthop Relat Res 291:20–28PubMed

31.

Lombardo SJ, Kerlan RK, Jobe FW, Carter VS, Blazina ME, Shields CL Jr (1976) The modified Bristow procedure for recurrent dislocation of the shoulder. J Bone Joint Surg Am 58(2):256–261PubMed

32.

Lunn JV, Castellano-Rosa J, Walch G (2008) Recurrent anterior dislocation after the Latarjet procedure: outcome after revision using a modified Eden-Hybinette operation. J Should Elbow Surg 17(5):744–750CrossRef

33.

Magarelli N, Milano G, Baudi P, Santagada DA, Righi P, Spina V, Leone A, Amelia R, Fabbriciani C, Bonomo L (2012) Comparison between 2D and 3D computed tomography evaluation of glenoid bone defect in unilateral anterior gleno-humeral instability. Radiol Med 117(1):102–111PubMedCrossRef

34.

Matsen FA 3rd, Chebli C, Lippitt S (2006) Principles for the evaluation and management of shoulder instability. J Bone Joint Surg Am 88(3):648–659PubMed

35.

Millett PJ, Braun S (2009) The “bony Bankart bridge” procedure: a new arthroscopic technique for reduction and internal fixation of a bony Bankart lesion. Arthroscopy 25(1):102–105PubMedCrossRef

36.

Millett PJ, Clavert P, Warner JJ (2005) Open operative treatment for anterior shoulder instability: when and why? J Bone Joint Surg Am 87(2):419–432PubMedCrossRef

37.

Mochizuki Y, Hachisuka H, Kashiwagi K, Oomae H, Yokoya S, Ochi M (2007) Arthroscopic autologous bone graft with arthroscopic Bankart repair for a large bony defect lesion caused by recurrent shoulder dislocation. Arthroscopy 23(6):677 e671–677 e674

38.

Mologne TS, Provencher MT, Menzel KA, Vachon TA, Dewing CB (2007) Arthroscopic stabilization in patients with an inverted pear glenoid: results in patients with bone loss of the anterior glenoid. Am J Sports Med 35(8):1276–1283PubMedCrossRef

39.

Murachovsky J, Bueno RS, Nascimento LG, Almeida LH, Strose E, Castiglia MT, de Oliveira HC, Ikemoto RY (2012) Calculating anterior glenoid bone loss using the Bernageau profile view. Skeletal Radiol. doi:10.1007/s00256-012-1439-9 PubMed

40.

Neyton L, Young A, Dawidziak B, Visona E, Hager JP, Fournier Y, Walch G (2012) Surgical treatment of anterior instability in rugby union players: clinical and radiographic results of the Latarjet–Patte procedure with minimum 5-year follow-up. J Should Elbow Surg. doi:10.1016/j.jse.2012.01.023

41.

Park MJ, Tjoumakaris FP, Garcia G, Patel A, Kelly JD (2011) Arthroscopic remplissage with Bankart repair for the treatment of glenohumeral instability with Hill-Sachs defects. Arthroscopy 27(9):1187–1194PubMedCrossRef

42.

Porcellini G, Campi F, Paladini P (2002) Arthroscopic approach to acute bony Bankart lesion. Arthroscopy 18(7):764–769PubMedCrossRef

43.

Porcellini G, Paladini P, Campi F, Paganelli M (2007) Long-term outcome of acute versus chronic bony Bankart lesions managed arthroscopically. Am J Sports Med 35(12):2067–2072PubMedCrossRef

44.

Saito H, Itoi E, Sugaya H, Minagawa H, Yamamoto N, Tuoheti Y (2005) Location of the glenoid defect in shoulders with recurrent anterior dislocation. Am J Sports Med 33(6):889–893PubMedCrossRef

45.

Scheibel M, Kraus N, Diederichs G, Haas NP (2008) Arthroscopic reconstruction of chronic anteroinferior glenoid defect using an autologous tricortical iliac crest bone grafting technique. Arch Orthop Trauma Surg 128(11):1295–1300PubMedCrossRef

46.

Sugaya H, Kon Y, Tsuchiya A (2005) Arthroscopic repair of glenoid fractures using suture anchors. Arthroscopy 21(5):635PubMed

47.

Sugaya H, Moriishi J, Kanisawa I, Tsuchiya A (2005) Arthroscopic osseous Bankart repair for chronic recurrent traumatic anterior glenohumeral instability. J Bone Joint Surg Am 87(8):1752–1760PubMedCrossRef

48.

Sugaya H, Moriishi J, Kanisawa I, Tsuchiya A (2006) Arthroscopic osseous Bankart repair for chronic recurrent traumatic anterior glenohumeral instability. Surgical technique. J Bone Joint Surg Am 88(Suppl 1 Pt 2):159–169PubMed

49.

Tauber M, Resch H, Forstner R, Raffl M, Schauer J (2004) Reasons for failure after surgical repair of anterior shoulder instability. J Should Elbow Surg 13(3):279–285CrossRef

50.

Taverna E, Golano P, Pascale V, Battistella F (2008) An arthroscopic bone graft procedure for treating anterior-inferior glenohumeral instability. Knee Surg Sports Traumatol Arthrosc 16(9):872–875PubMedCrossRef

51.

Walch G, Boileau P (2000) Latarjet–Bristow procedure for recurrent anterior instability. Tech Should Elbow Surg 1(4):256–261CrossRef

52.

Warner JJ, Gill TJ, O’Hollerhan JD, Pathare N, Millett PJ (2006) Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft. Am J Sports Med 34(2):205–212PubMedCrossRef

53.

Wellmann M, de Ferrari H, Smith T, Petersen W, Siebert CH, Agneskirchner JD, Hurschler C (2012) Biomechanical investigation of the stabilization principle of the Latarjet procedure. Arch Orthop Trauma Surg 132(3):377–386PubMedCrossRef

54.

Wolf EM, Pollack ME (2004) Hill-Sachs “Remplissage”: an arthroscopic solution for the engaging Hill-Sachs lesion (SS-32). Arthroscopy 20:e14–e15

55.

Yamamoto N, Itoi E, Abe H, Kikuchi K, Seki N, Minagawa H, Tuoheti Y (2009) Effect of an anterior glenoid defect on anterior shoulder stability: a cadaveric study. Am J Sports Med 37(5):949–954PubMedCrossRef

56.

Yamamoto N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, Okada K (2007) Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Should Elbow Surg 16(5):649–656CrossRef

57.

Young AA, Maia R, Berhouet J, Walch G (2011) Open Latarjet procedure for management of bone loss in anterior instability of the glenohumeral joint. J Should Elbow Surg 20(2 Suppl):S61–S69CrossRef

58.

Zhang J, Jiang C (2011) A new “double-pulley” dual-row technique for arthroscopic fixation of bony Bankart lesion. Knee Surg Sports Traumatol Arthrosc 19(9):1558–1562PubMedCrossRef

Title: Arthroscopic management of anterior shoulder instability with glenoid bone defects
Authors: Frank Martetschläger
Tobias M. Kraus
Philippe Hardy
Peter J. Millett
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2198-9

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Arthroscopic management of anterior shoulder instability with glenoid bone defects

Abstract

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