Arthroscopic Bankart repair and subscapularis augmentation: an alternative technique treating anterior shoulder instability with XXXX .

@entity1 @entity1051 @entity604 @entity2065
BACKGROUND: This study presents the preliminary results of a new arthroscopic technique consisting of the association of 2 procedures, capsulolabral repair and subscapularis augmentation tenodesis, in the treatment of traumatic anterior shoulder instability with both glenoid @entity604 and a @entity1051 . METHODS: Eighty-nine @entity1 engaged in sports were enrolled in this retrospective case-series study with 2 to 5  years' follow-up. All @entity1 underwent a computed tomography scan to assess the percentage of glenoid @entity604 by the Pico method. A prior stabilization procedure had failed in 20 @entity1 , who were then segregated into a different group. Visual analog scale (VAS), Rowe, and American Shoulder and Elbow Surgeons (ASES) scores were used to assess the results. RESULTS: Only 3 of 89 @entity1 had a post-traumatic redislocation. The mean length of follow-up was 31.5  months (range, 25-60  months). The VAS, Rowe, and ASES scores showed significant improvements: The VAS score decreased from a mean of 3.1 to 0.5 (P  =  .0157), the Rowe score increased from 58.9 to 94.1 (P  =  .0215), and the ASES score increased from 68.5 to 95.5 (P  =  .0197). The mean deficit of external rotation was 6   with the arm at the side of the trunk, and the mean deficit was 3   with the arm in 90   of abduction. CONCLUSIONS: The described procedure is a reproducible and effective technique used to restore joint stability in @entity1 engaged in sports who have incurred anterior recurrent @entity2065 associated with glenoid @entity604 (<25%) and a @entity1051 .
