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An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack.

Publication ,  Journal Article
Speer, KP; Warren, RF; Pagnani, M; Warner, JJ
Published in: J Bone Joint Surg Am
December 1996

Arthroscopically assisted repair of the anterior aspect of the labrum with use of a bioabsorbable tack was performed in fifty-two consecutive patients who had chronic anterior instability of the shoulder. The average age of the patients was twenty-eight years (range, sixteen to fifty years). The etiology of the instability was a traumatic injury in forty-nine patients; twenty-six of those injuries were sustained during participation in a contact sport. Fifty shoulders had a Bankart lesion. The patients were evaluated at an average of forty-two months (range, twenty-four to sixty months) after the procedure. Forty-one (79 per cent) of the patients were asymptomatic and were able to participate in sports without restriction. The repair was considered to have failed in eleven (21 per cent) of the patients. In four of them, the failure resulted from a single traumatic reinjury during participation in a contact sport, and three of these reinjuries were treated nonoperatively. The remaining seven failures occurred atraumatically. Eight patients had an open glenoid-based capsulorrhaphy as a consequence of recurrent instability. At the reoperation, no evidence of the tack was found in any patient. In seven patients, the Bankart lesion had completely healed, and the anteroinferior aspect of the capsule was patulous. Anterior stabilization of the shoulder with a bioabsorbable tack may be indicated for patients who have anterior instability but do not need a capsulorrhaphy or capsular imbrication to reduce the joint volume.

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Published In

J Bone Joint Surg Am

DOI

ISSN

0021-9355

Publication Date

December 1996

Volume

78

Issue

12

Start / End Page

1801 / 1807

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Shoulder Joint
  • Retrospective Studies
  • Recurrence
  • Prostheses and Implants
  • Orthopedics
  • Middle Aged
  • Male
  • Joint Instability
  • Humans
 

Citation

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ICMJE
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Speer, K. P., Warren, R. F., Pagnani, M., & Warner, J. J. (1996). An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am, 78(12), 1801–1807. https://doi.org/10.2106/00004623-199612000-00002
Speer, K. P., R. F. Warren, M. Pagnani, and J. J. Warner. “An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack.J Bone Joint Surg Am 78, no. 12 (December 1996): 1801–7. https://doi.org/10.2106/00004623-199612000-00002.
Speer KP, Warren RF, Pagnani M, Warner JJ. An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am. 1996 Dec;78(12):1801–7.
Speer, K. P., et al. “An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack.J Bone Joint Surg Am, vol. 78, no. 12, Dec. 1996, pp. 1801–07. Pubmed, doi:10.2106/00004623-199612000-00002.
Speer KP, Warren RF, Pagnani M, Warner JJ. An arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am. 1996 Dec;78(12):1801–1807.
Journal cover image

Published In

J Bone Joint Surg Am

DOI

ISSN

0021-9355

Publication Date

December 1996

Volume

78

Issue

12

Start / End Page

1801 / 1807

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Shoulder Joint
  • Retrospective Studies
  • Recurrence
  • Prostheses and Implants
  • Orthopedics
  • Middle Aged
  • Male
  • Joint Instability
  • Humans