Arthroscopic Management of Acute Traumatic Primary Anterior Shoulder Dislocation

NASEF M. NASEF, M.D., KHALID A. SHOHAYEB, M.D.;; BAHAAALDINE S. ABD EL-WAHAB, M.Sc., AMR RASHWAN, M.D.;; REDA A.A. SHETA, M.Sc., MOHAMED H.E. ABORAS, M.Sc.;; OMAR A. FATHY, M.Sc., MOEMEN SEIF, M.Sc.;

doi:10.21608/mjcu.2018.65746

Arthroscopic Management of Acute Traumatic Primary Anterior Shoulder Dislocation

Document Type : Original Article

Authors

The Department of Orthopedic Surgery, Student Hospital* and Faculty of Medicine**, Cairo University

10.21608/mjcu.2018.65746

Abstract

Abstract
Background: Glenohumeral joint is the most mobile and most commonly dislocated joint in the human body. The patient's age at the time of injury is inversely related to the incidence of dislocation recurrence rate. Recurrence rate in athletes younger than 20, may be as high as 90%. Arthroscopic stabilization is usually successful in preventing the recurrence of shoulder dislocations leads to reduced recurrence, improved functional outcome.
Aim of Study: The aim of this study is to asses the benefits of Bankart repair using suture anchors in treating patient with first time anterior traumatic shoulder instability.
Patients and Methods: This prospective study was per-formed on 30 patients having anterior primary shoulder dislocation. All cases were managed by arthroscopic repair of the anterior labral lesion using suture knotted anchors.
Results: Patients were assessed pre and post operatively by modified Rowe scale and ASES (American shoulder and Elbow disability system).
Conclusion: Primary arthroscopic repair for first-time traumatic anterior shoulder dislocation provided satisfactory functional outcomes and improved quality of life. Primary arthroscopic stabilization can be considered best treatment option in patients younger than 30 years with first time shoulder dislocation.

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