The arthroscopic technique involves making three small incisions and using a camera to see inside the shoulder joint. When the shoulder joint is torn its common to have occurred due to a shoulder dislocation and instability. Chattanooga, tn 423 6242696 postoperative instructions you will wake up in the operating room. Arthroscopic bankart repair this protocol to be used for laterjet procedures as well dr. Arthroscopic repair of bony bankart fracture vumedi. The authors declare that they have no conflicts of interest concerning this article. Biomechanical studies have shown improved reduction and. Arthroscopic repair of chronic bony bankart lesion using a. Rehabilitation after arthroscopic bankart repair and anterior stabilization procedures phase 0. Bankart repair anterior capsulorrhaphy rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible.
Arthroscopic bankart repair manhattan orthopedic care. Recurrence rates of instability are acceptable and reoperation rates were low. If procedure is performed arthroscopically strengthening of the rotator cuff. Our approach to the arthroscopic bankart uses the posterolateral portal described above in the technique section as the standard arthroscopic portals provide insufficient visualization and instrumentation access to the inferior. Arthroscopic anterior stabilization with or without bankart repair. Guidelines for weeks 0 to 6 what to do talk with your provider, nurse, or physical therapist if you have any questions or concerns.
The cost implications and resource utilization of arthroscopic and open bankart procedures were evaluated to determine if differences exist between these procedures when performed in a community setting. The 2 main techniques used are double and singlerow suture anchor stabilization, with debate over superiority. Arthroscopic slapbankart repair protocol andrea saterbak. Guidelines for weeks 0 to 6 draft university of washington. Pdf arthroscopic repair of posterior bony bankart lesion. This analogy is used because the articular surface of the round humeral head upper most part of the. Arthroscopic bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability. Passive pendulums to warmup passive range of motion no internal rotation week 1 to 3 supine external rotation. Arthroscopic bankart repair for anterior shoulder instability. Arthroscopic bankart repair is most appropriate in the setting of a simple bankart lesion without significant glenoid bone loss gbl. Rehabilitation after arthroscopic posterior bankart repair. Arthroscopic bankart repair for the management of anterior. Arthroscopic posterior bankart repair tmi sports medicine. Matthew crawford this rehabilitation protocol has been developed for the patient following an arthroscopic bankart surgical procedure.
Bony bankart lesions are a common finding in patients with anterior glenohumeral dislocation. The arthroscopic technique involves identifying and repairing all pathology that contribute to glenohumeral instability, i. Arthroscopic revision bankart repair did not result in any additional loss of external rotation compared with the contralateral side p. Rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee figure 1. Manual reduction of the joint was carried out by hippocrates or rowe. A bankart lesion is the avulsion of the glenoid labrum, with or without a bony lesion, with the anterior band of the inferior glenohumeral ligament ighl from the. Rate of progression based on evaluation of the patient no excessive er, extension or elevation. Arthroscopic posterior bankart repair phase i protection phaseimmediate motion 0 6 weeks postop note. When arthroscopic bankart repair is no longer a viable option for. It lines the shoulder socket and helps keep the ball of the humerus in place.
Arthroscopic bankart repair in plano, frisco, mckinney and. Arthroscopic panlabral repair with remplissage of hillsachs. The full text of this article is available in pdf format. Immediately postoperatively, exercises must be modified so as not to place. In more severe cases when the labrum is torn a portion of the glenoid may be fractured and this is referred to as bony bankart lesion. The bankart procedure is performed to increase anterior stability of the shoulder. Arthroscopic bankart repair rehabilitation guidelines. American shoulder and elbow scores significantly improved with these procedures, researchers said. Oct 24, 2015 arthroscopic orthopedic surgical video of bony bankart stabilization of anteriorinferior glenoid fracture of the shoulder for traumatic shoulder dislocation from san francisco orthopaedic sports. Original article arthroscopic versus open bankart repair in patients. This can be done surgically with an arthroscopic technique or an open technique. Each phase is adaptable based on the individual and special circumstances. This study shows arthroscopic bankart repair with knot less anchors for recurrent anterior glenohumeral instability is a useful and succesful procedure.
It is designed for rehabilitation following arthroscopic bankart repair anterior capsulorrhaphy procedure. Immediate postop through 4 weeks post op therapist assisted passive range of motion prom ok immobilize full time except pendulums and stick assisted external rotation er to 30. Anterior shoulder reconstruction with arthroscopic bankart repair. Arthroscopic bankart repair with suture orthopaedic foundation. Arthroscopic revision bankart repair can be an effective alternative, but should only be considered in the properly selected. Rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair 333 38th st. Brady, md, knoxville, tn discusses the arthroscopic bankart repair and knotless remplissage by presenting a case study of glenohumeral instability with jan 11, 20 recurrent shoulder instability is due to the tear of anteroinferior glenoid labrum causing repeated shoulder dislocations which can be very painful. Open latarjet procedure for failed arthroscopic bankart repair. This arthroscopic shoulder surgery is used to repair a detached labrum. Open latarjet surgery is a good option for failed arthroscopic bankart repair. Technical advances in arthroscopic instability repair have led to outcomes approaching those of open surgical repair. Glenoid bone defects of less than 25% with an offtrack hillsachs lesion, however, should receive an arthroscopic bankart repair in addition to a remplissage. Modified arthroscopic bankart repair successfully returns contact athletes to sport. Primary arthroscopic bankart repair with remplissage shows.
Arthroscopic repair of posterior bony bankart lesion and subscapularis remplissage article pdf available in arthroscopy techniques 63 june 2017 with 28 reads how we measure reads. The humeral head ball of the shoulder joint is centered in t. Arthroscopic stabilisation bankart repair shoulderdoc by. Do not even measure internal rotation at the time of initial evaluation. The following is a guideline for progression of postoperative treatment. Arthroscopic slap bankart repair protocol andrea saterbak, md phase i. We prefer to perform the surgery arthroscopically keyhole, but some surgeons prefer an open procedure. Primary arthroscopic bankart repair with remplissage shows low failure rate. Move your elbow, fingers and hand several times a day.
Arthroscopic bankart repair twin cities orthopedics. Muscle strength after anterior shoulder stabilization. The labrum is a thick band of cartilage attached to the glenoid. The torn tissue is identified then suture anchors or bioabsorbably tacks are. Arthroscopic bankart repair this procedure accesses the front of your shoulder by inserting a thin, flexible tube called an arthroscope through a small incision. Pdf chapter05 arthroscopic bankart repair researchgate. To better understand what a bankart tear or lesion is, an overview of the shoulder is needed. During arthroscopic bankart repair, penetration of suture anchors through the far cortex can compromise the initial biomechanical characteristics of anchor stability and repair integrity. Recurrent anterior shoulder instability, bankart, arthroscopy.
Avoid any internal rotation of the glenohumeral joint. Nov 09, 2012 if a lesion of 20% to 30% the width of the glenoid is present, arthroscopic repair of the bony bankart lesion is preferable to repair of the softtissue lesion alone. Arthrex arthroscopic bankart repair with knotless remplissage. Arthroscopic bankart repair rehab protocol this rehabilitation protocol has been developed for the patient following an arthroscopic bankart surgical procedure. Apply ice to the shoulder as tolerated to reduce pain and swelling. You can change the dressing to a smaller one to allow the cold therapy to reach the shoulder. Arthroscopic bankart repair with suture anchors tips for success.
If glenoid bone loss is less than 25% with an ontrack hillsachs lesion, arthroscopic bankart repair is capable of reliable outcomes. The critical point to to keep the shoulder muscles loose and relaxed. Risk factors for recurrence of anteriorinferior insta bility of the shoulder after arthroscopic bankart. Click here to download pdf rehabilitation after arthroscopic posterior bankart repair. Arthroscopic bankart repair general sling and abduction pillow for six weeks avoid the throwing postion for three months most patients will not start formal physical therapy until three weeks postop phase i. Glenoid shoulder joint before reconstructive surgery detached labrum sutures anchor sutures glenoid detached labrum shoulder joint sutures glenoid reattached. Although open bankart repair is more invasive than the. The arthroscope uses a tiny camera to project a picture of your affected area onto a screen for your orthopedic surgeon to see. Dr joe burns performs an arthroscopic reduction and repair of a displaced glenoid fracture after traumatic dislocation. Arthroscopic repair of bankart injuries have good success rates, though nearly onethird of patients require further surgery for continued instability after the initial procedure in a study of young adults, with higher reoperation rates in those less than 20 years of age.
Manual reduction of the joint was carried out by hippocrates or rowe technique at. General information there may be a loss of external rotation when compared to the other side, but the motion is. Arthroscopic bankart repair is a procedure is used to repair a detached or overstretched labrum and capsule deep within the shoulder joint. Arthroscopic rotator cuff repair rehabilitation guidelines derek plausinis, masc, md, frcsc 0 to 6 weeks postop sling use. Overview and recovery from a patients perspective doug letourneau is an avid basketball player in his free time. Bankart repair protocol vanderbilt university medical center. Revision open bankart surgery after arthroscopic repair for traumatic anterior shoulder instability. When he dislocated his shoulder during a game, he wanted to treat his injury as quickly as possible and get back on the court.
Arthroscopicopen anterior bankart repair physical therapy. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic anterior stabilization procedure. Bankart repairanterior capsulorrhaphy rehabilitation. Petterson, phd anterior instability treated by arthroscopic surgery is a viable option to return the athlete. Preserve the integrity of the surgical repair restore muscular strength and balance enhance neuromuscular control range of motion week 8 external rotation. Pdf arthroscopic bankart repair for the management of anterior. The functional results of arthroscopic bankart repair with knotless. Although there are no defined guidelines, small bony bankart fractures are typically treated arthroscopically with suture anchors. Bankart repair surgery is a minimally invasive surgery to repair instability and restore function of dislocated shoulders. Arthroscopic stabilisation bankart repair this procedure involves repairing the over stretched or torn labrum and capsule deep within the shoulder joint.
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