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HomeSummaryReview of the conditionConsidering surgeryPreparing for surgeryAbout the procedureRecovering from surgeryRehabilitationConclusionSummary of surgical repair for shoulder dislocations for shoulder dislocations

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Bankart repair for unstable dislocating shoulders: Surgery to anatomically and securely repair the torn anterior glenoid labrum and capsule without arthroscopy can lessen pain and improve function for active individuals.

Edited By: Frederick A. Matsen III, M.D., Winston J. Warme, MD
Last updated Tuesday, November 13, 2007

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Conclusion

What are the five most important facts about surgical repair for shoulder dislocations for shoulder dislocations?

Shoulder instability surgery can help restore comfort and function to shoulders with dislocations, instability or apprehension. In the hands of an experienced surgeon, shoulder instability surgery can be a most effective method for restoring comfort and function to a shoulder with recurrent instability, dislocations, or apprehension in a healthy and motivated patient. The best results are obtained when the surgery repairs a shoulder injury which resulted a tear of the labrum and ligaments from the glenoid socket. In this situation the surgeon has a good opportunity to restore the normal anatomy of the shoulder. Pre-planning and persistent rehabilitation efforts will help assure an optimal result for the patient.

References:
Churchill, R. S., M. Moskal, et al. (2001) "Extracapsular Anatomically Contoured Anterior Glenoid Bone Grafting for Complex Glenohumeral Instability." Techniques in Shoulder & Elbow Surgery. 2(3):210-218.
Gibb, T. D., J. A. Sidles, et al. (1991). "The effect of capsular venting on glenohumeral laxity." Clin Orthop Relat Res(268): 120-7.
Harryman, D. T., 2nd, J. A. Sidles, et al. (1990). "Translation of the humeral head on the glenoid with passive glenohumeral motion." J Bone Joint Surg Am 72(9): 1334-43.
Harryman, D. T., 2nd, J. A. Sidles, et al. (1992). "The role of the rotator interval capsule in passive motion and stability of the shoulder." J Bone Joint Surg Am 74(1): 53-66.
Jackins, S. and F. A. Matsen, 3rd (1994). "Management of shoulder instability." J Hand Ther 7(2): 99-106.
Lazarus, M. D., J. A. Sidles, et al. (1996). "Effect of a chondral-labral defect on glenoid concavity and glenohumeral stability. A cadaveric model." J Bone Joint Surg Am 78(1): 94-102.
Lenters, T. R., A. K. Franta, et al. (2007). "Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature." J Bone Joint Surg Am 89(2): 244-54.
Lippitt, S. and F. Matsen (1993). "Mechanisms of glenohumeral joint stability." Clin Orthop Relat Res(291): 20-8.
Matsen, F. A., 3rd (1991). "Capsulorrhaphy with a staple for recurrent posterior subluxation of the shoulder." J Bone Joint Surg Am 73(6): 950.
Matsen, F. A., 3rd (2002). "The biomechanics of glenohumeral stability." J Bone Joint Surg Am 84-A(3): 495-6.
Matsen, F. A., 3rd, C. Chebli, et al. (2006). "Principles for the evaluation and management of shoulder instability." J Bone Joint Surg Am 88(3): 648-59.
Matsen, F. A., 3rd, C. M. Chebli, et al. (2007). "Principles for the evaluation and management of shoulder instability." Instr Course Lect 56: 23-34.
Matsen, F. A., 3rd, D. T. Harryman, 2nd, et al. (1991). "Mechanics of glenohumeral instability." Clin Sports Med 10(4): 783-8.
Matsen, F. A., 3rd and J. D. Zuckerman (1983). "Anterior glenohumeral instability." Clin Sports Med 2(2): 319-38.
Matsen, L. J., C. Hettrich, et al. (2006). "Direct injection of blood into the labrum enhances the stability provided by the glenoid labral socket." J Shoulder Elbow Surg 15(6): 651-8.
Metcalf, M. H., D. G. Duckworth, et al. (1999). "Posteroinferior glenoplasty can change glenoid shape and increase the mechanical stability of the shoulder." J Shoulder Elbow Surg 8(3): 205-13.
Montgomery, W. H., Jr., M. Wahl, et al. (2005). "Anteroinferior bone-grafting can restore stability in osseous glenoid defects." J Bone Joint Surg Am 87(9): 1972-7.
Schiffern, S. C., R. Rozencwaig, et al. (2002). "Anteroposterior centering of the humeral head on the glenoid in vivo." Am J Sports Med 30(3): 382-7.
Shuman, W. P., R. F. Kilcoyne, et al. (1983). "Double-contrast computed tomography of the glenoid labrum." AJR Am J Roentgenol 141(3): 581-4.
Thomas, S. C. and F. A. Matsen, 3rd (1989). "An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability." J Bone Joint Surg Am 71(4): 506-13.
von Eisenhart-Rothe, R., F. A. Matsen, 3rd, et al. (2005). "Pathomechanics in atraumatic shoulder instability: scapular positioning correlates with humeral head centering." Clin Orthop Relat Res(433): 82-9.
Zuckerman, J. D. and F. A. Matsen, 3rd (1984). "Complications about the glenohumeral joint related to the use of screws and staples." J Bone Joint Surg Am 66(2): 175-80.

Surgery for shoulder dislocations at the University of Washington

If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-7416 to make an appointment.

Disclaimer

This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.


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