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International Orthopaedics
Published in: International Orthopaedics 1/2017

Open Access 01-01-2017 | Original Paper

Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift

Authors: Przemysław Lubiatowski, Jan Długosz, Marta Ślęzak, Piotr Ogrodowicz, Jakub Stefaniak, Joanna Walecka, Leszek Romanowski

Published in: International Orthopaedics | Issue 1/2017

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Abstract

Purpose

The evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift).

Methods

Material was based on 133 patients: anterior shoulder instability without laxity (group I, n = 49), with laxity (group II, n = 22) and subacromial impingement (control group, n = 62) operated in 2010–2011. Group I received arthroscopic Bankart repair, group; II – arthroscopic anterior capsular plication, control group – subacromial decompression. Joint volume was measured by fluid aspiration into the syringe via arthroscope, before and after procedure. Then volume reduction potential was calculated.

Results

The following average values of initial joint volume were recorded: group I – 26.8 ml group II – 43.7 ml and the control group – 25.6 ml with significant differences: impingement vs. instability + laxity (p < 0.00001), impingement vs. instability without laxity (p = 0.0001). There was no significant difference between groups I and II. Joint volume was significantly reduced after labral repair (by average of 37 %, 13.8 ml, p < 0.0001). Capsular shift led to an even greater and more significant volume decrease (61 %, 26.7 ml, p < 0.001). Joint volume in the control group was reduced only by 11 %, 3.8 ml (p = 0.046).

Conclusions

Patients with unstable shoulders have enlarged joint volume as compared to patients with subacromial impingement. Arthroscopic techniques lead to a significant joint volume reduction, with the most powerful effect for capsular shift.
Level of Evidence – Level 2.
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Metadata
Title
Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift
Authors
Przemysław Lubiatowski
Jan Długosz
Marta Ślęzak
Piotr Ogrodowicz
Jakub Stefaniak
Joanna Walecka
Leszek Romanowski
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3275-3

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