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Skeletal Radiology
Published in: Skeletal Radiology 11/2018

01-11-2018 | Scientific Article

Sonographic sequential change of the anteroinferior labrum following arthroscopic Bankart repair: quantitative and qualitative assessment

Authors: Masaki Fukuyoshi, Tetsuya Takenaga, Tetsuya Ono, Norio Hayashi, Atsushi Tsuchiya, Hideyuki Goto, Katsumasa Sugimoto

Published in: Skeletal Radiology | Issue 11/2018

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Abstract

Objective

Although arthroscopic Bankart repair is widely performed, little is known concerning the healing process of the Bankart lesion. This study aimed to describe the sonographic sequential change of the anteroinferior labrum following arthroscopic Bankart repair, both quantitatively and qualitatively.

Materials and Methods

Twenty-five subjects who had undergone arthroscopic Bankart repair were investigated using a sonographic diagnostic device equipped with shear-wave elastographic technology. In addition to measuring the elasticity of the anteroinferior labrum, the B-mode echogram of the anteroinferior labrum was classified into three grades based on the relative echogenicity. Assessment was performed in the affected shoulder 1, 2, 3, 4, 5, 6, and 12 months postoperatively and in the contralateral shoulder 1 month postoperatively for the control.

Results

The mean elasticity of the anteroinferior labrum in the affected shoulder 1 and 2 months postoperatively was significantly lower than in the contralateral shoulder (p < 0.001 for both). However, no significant difference was found after 3 months postoperatively. B-mode echograms of the anteroinferior labrum in the contralateral shoulder were classified as grade 0 in all subjects (100%), whereas the percentage of grade 0s in the affected shoulder was 0, 4, 96, and 100% at 1, 2, 3, and 4 months postoperatively.

Conclusion

Both quantitative and qualitative assessment of repaired anteroinferior labrum using ultrasound became comparable with the contralateral shoulder 3–4 months postoperatively. Ultrasound is a useful decision-supporting tool to prescribe postoperative rehabilitation protocol following arthroscopic Bankart repair, although functional recovery should also be evaluated on an individual basis.
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Metadata
Title
Sonographic sequential change of the anteroinferior labrum following arthroscopic Bankart repair: quantitative and qualitative assessment
Authors
Masaki Fukuyoshi
Tetsuya Takenaga
Tetsuya Ono
Norio Hayashi
Atsushi Tsuchiya
Hideyuki Goto
Katsumasa Sugimoto
Publication date
01-11-2018
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 11/2018
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-2964-y

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