Arthroscopic Repair of Circumferential Lesions of the Glenoid Labrum

Tokish, John M.; McBratney, Colleen M.; Solomon, Daniel J.; LeClere, Lance; Dewing, Christopher B.; Provencher, Matthew T.
September 2010
Journal of Bone & Joint Surgery, American Volume;Sep2010 Supplement, p130
Academic Journal
BACKGROUND: Symptomatic pan-labral or circumferential (3600) tears of the glenohumeral labrum are an uncommon injury. The purpose of the present study was to report the results of surgical treatment of circumferential lesions of the glenoid labrum with use of validated outcome instruments. METHODS: From July 2003 to May 2006, forty-one shoulders in thirty-nine patients (thirty-four men and five women) with a mean age of 25.1 years were prospectively enrolled in a multicenter study and were managed for a circumferential (360°) lesion of the glenoid labrum. All patients had a primary diagnosis of pain and recurrent shoulder instability, and all underwent arthroscopic repair of the circumferential labral tear with a mean of 7.1 suture anchors. The outcomes for thirty-nine of the forty-one shoulders were assessed after a mean duration of follow-up of 31.8 months on the basis of the rating of pain and instability on a scale of 0 to 10, a physical examination, and three outcome instruments (the Single Assessment Numeric Evaluation score, the modified American Shoulder and Elbow Surgeons score, and the Short Form-12 score). RESULTS: Significant improvement was noted in terms of the mean pain score (from 4.3 to 1.1), the mean instability score (from 7.3 to 0.2), the mean modified American Shoulder and Elbow Surgeons score (from 55.5 to 89.6), the mean Short Form-12 score (from 75.7 to 90.0), and the mean Single Assessment Numeric Evaluation score (from 36.7 to 88.5). Six shoulders required revision surgery because of recurrent instability (two), recalcitrant biceps tendinitis (two), or postoperative tightness (two). All patients returned to their preinjury activity level. CONCLUSIONS: Pan-labral or circumferential lesions are an uncommon yet extensive injury of the glenohumeral joint that may result in recurrent instability and pain. The present study demonstrates that arthroscopic capsulolabral repair with suture anchor fixation can restore the stability of the glenohumeral joint and can provide a reliable improvement in subjective and objective outcome measures. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.


Related Articles

  • Arthroscopic Bankart repair: Have we finally reached a gold standard? Castagna, Alessandro; Garofalo, Raffaele; Conti, Marco; Flanagin, Brody // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p398 

    Traditionally, surgical stabilization of the unstable shoulder has been performed through an open incision. Arthroscopic Bankart repair with suture anchors is now widely considered the treatment of choice for anterior shoulder instability in patients who have failed conservative management. Many...

  • Glenohumeral translation in ABER position during muscle activity in patients treated with Latarjet procedure: an in vivo MRI study. Giacomo, Giovanni; Scarso, Paolo; Vita, Andrea; Rojas Beccaglia, Mario; Pouliart, Nicole; Gasperis, Nicola; Di Giacomo, Giovanni; De Vita, Andrea; Rojas Beccaglia, Mario A; de Gasperis, Nicola // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p521 

    Purpose: The Latarjet procedure is frequently performed when treating traumatic anteroinferior shoulder instability. This procedure is supposed to have a triple effect: osseous, muscular and ligamentous. The main stabilizing mechanism in cadaver studies on fresh-frozen shoulders...

  • Reduction of Acute Anterior Dislocation with the FARES Method. Sayegh, Fares E.; Kenanidis, Eustathios I.; Papavasiliou, Kyriakos A.; Potoupnis, Michael E.; Pellios, Stavros; Kirkos, John M.; Kapetanos, George A. // Essential Surgical Techniques;Jul-Sep2012, Vol. 2 Issue 3, p1 

    The article discusses the Fast, Reliable and Safe (FARES) method as an alternative solution to reduce acute anterior glenohumeral dislocations combined with the application of vertical oscillation movements, longitudinal traction, and external rotation of the arm. It notes tha the method is...

  • Anatomic Shoulder Arthroplasty as Treatment for Locked Posterior Dislocation of the Shoulder. Wooten, Clint; Klika, Brian; Schleck, Cathy D.; Harmsen, William S.; Sperling, John W.; Cofield, Robert H. // Journal of Bone & Joint Surgery, American Volume;2/5/2014, Vol. 96 Issue 3, pe19(1) 

    Background: Chronic locked shoulder dislocations account for 2% to 5% of all shoulder dislocations. There is little information regarding the mid-term to long-term results of anatomic shoulder arthroplasty for treatment of this problem. Methods: Thirty-two shoulder arthroplasties were performed...

  • The role of the scapula in preventing and treating shoulder instability. Kibler, W.; Sciascia, Aaron; Kibler, W Ben // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p390 

    The shoulder is a closed-chain mechanism that balances the mobility required by the ranges of motion in normal activities with the stability required to act as a stable ball and socket base for those activities. The scapula plays key roles in the closed-chain mechanism by being mobile enough to...

  • Maximum load to failure and tensile displacement of an all-suture glenoid anchor compared with a screw-in glenoid anchor. Dwyer, Tim; Willett, Thomas; Dold, Andrew; Petrera, Massimo; Wasserstein, David; Whelan, Danny; Theodoropoulos, John; Willett, Thomas L; Dold, Andrew P; Whelan, Danny B; Theodoropoulos, John S // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p357 

    Purpose: The purpose of this study was to evaluate the biomechanical behavior of an all-suture glenoid anchor in comparison with a more conventional screw-in glenoid anchor, with regard to maximum load to failure and tensile displacement.Methods: All mechanical testing...

  • Return to sports after arthroscopic capsulolabral repair using knotless suture anchors for anterior shoulder instability in soccer players: minimum 5-year follow-up study. Alentorn-Geli, Eduard; Álvarez-Díaz, Pedro; Doblas, Jesús; Steinbacher, Gilbert; Seijas, Roberto; Ares, Oscar; Boffa, Juan; Cuscó, Xavier; Cugat, Ramón; Álvarez-Díaz, Pedro; Doblas, Jesús; Boffa, Juan José; Cuscó, Xavier; Cugat, Ramón // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p440 

    Purpose: To report the return to sports and recurrence rates in competitive soccer players after arthroscopic capsulolabral repair using knotless suture anchors at a minimum of 5 years of follow-up.Methods: All competitive soccer players with anterior glenohumeral...

  • Treatment of glenohumeral instability in rugby players. Funk, Lennard // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p430 

    Rugby is a high-impact collision sport, with impact forces. Shoulder injuries are common and result in the longest time off sport for any joint injury in rugby. The most common injuries are to the glenohumeral joint with varying degrees of instability. The degree of instability can guide...

  • Effect of glenohumeral position on contact pressure between the capsulolabral complex and the glenoid in free ALPSA and Bankart lesions. Kim, DooSup; Chung, HoeJeong; Yi, Chang-Ho; Yoon, Yeo-Seung; Son, Jongsang; Kim, Youngho; On, Myoung-Gi; Yang, JaeHyung // Knee Surgery, Sports Traumatology, Arthroscopy;Feb2016, Vol. 24 Issue 2, p350 

    Purpose: Anterior shoulder dislocation is a common injury, but the optimal management of dislocation remains controversial. We hypothesized that reducing the shoulder in externally rotated position would aid the reduction in capsulolabral lesions. Thus, in this study, contact...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics