Criteria for arthroscopic treatment of anterior instability of the shoulder

E. Calvo, J. J. Granizo, D. Fernández-Yruegas
2005 Journal of Bone and Joint Surgery  
We prospectively evaluated 61 patients treated arthroscopically for anterior instability of the shoulder at a mean follow-up of 44.5 months (24 to 100) using the Rowe scale. Those with post-operative dislocation or subluxation were considered to be failures. Logistic regression analysis was used to identify patients at increased risk of recurrence in order to develop a suitable selection system. The mean Rowe score improved from 45 pre-operatively to 86 at follow-up (p < 0.001). At least one
more » ... sode of post-operative instability occurred in 11 patients (18%), although their stability improved (p = 0.018), and only three required revision. Subjectively, eight patients were dissatisfied. Age younger than 28 years, ligamentous laxity, the presence of a fracture of the glenoid rim involving more than 15% of the articular surface, and post-operative participation in contact or overhead sports were associated with a higher risk of recurrence, and scored 1, 1, 5 and 1 point, respectively. Those patients with a total score of two or more points had a relative risk of recurrence of 43% and should be treated by open surgery. Arthroscopic Bankart repair for the treatment of instability of the shoulder has become increasingly popular as it is less invasive than open surgery and produces a better cosmetic result, range of movement and function.
doi:10.1302/0301-620x.87b5.15794 pmid:15855371 fatcat:a7omrca535fdvddjyw5usvoryi