Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations
Deutscher übersetzter Titel: | Arthroskopische Bandnaht nach Bankart versus konservative Therapie bei akuter erstmaliger vorderer Schulterluxation |
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Autor: | Arciero, R.A.; Wheeler, J.H.; Ryan, J.B.; McBride, J.T. |
Erschienen in: | The American journal of sports medicine |
Veröffentlicht: | 22 (1994), 5, S. 589-594, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0363-5465, 1552-3365 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199702203001 |
Quelle: | BISp |
Abstract des Autors
A prospective study evaluating nonoperative treatment versus arthoscopic Bankart suture repair for acute, initial dislocation of the shoulder was undertaken in young athletes. All patients met the following criteria: 1) sustained an acute first-time traumatic anterior dislocation, 2) no history of impingement or occult subluxation, 3) the dislocation required a manual reduction, and 4) no concomitant neurologic injury. Thirty-six athletes (average age, 20 years) met the criteria for inclusion. Group I patients were immobilized for 1 month followed by rehabilitation; they were allowed full activity at 4 months. Group II patients underwent arthroscopic Bankart repair followed by the same protocol as Group I. Group I consisted of 15 athletes. Twelve patients (80%) developed recurrent instability; 7 of the 12 have required open Bankart repair for recurrent instability. Group II consisted of 21 patients; 18 patients (86%) had no recurrent instability at last followup (average, 32 months, range, 15 to 45) (P=0.001). One patient in Group II has required a subsequent open Bankart repair to treat symptomatic recurrence (P=0.005). In this study, arthroscopic Bankart repair significantly reduced the recurrence rate in young athletes who sustained an acute, initial anterior dislocation of the shoulder. Verf.-Referat