الفهرس | Only 14 pages are availabe for public view |
Abstract The aim of this work is to compare the results of the open repair methods and the arthroscopic techniques used in the treatment of Bankart lesion together with comparison of the results obtained by the open treatment using either the Copeland technique or the use of Mitec anchors for capsulolabral reconstruction. Based on our study, we found that: 1- Recurrent anterior dislocation of the shoulder joint is a major problem affecting most of the age groups. 2- The condition may be caused to specific pathology that is the Bankart lesion with the detachment of the capsule and inferior glenohumeral ligament from the glenoid in cases of anterior unidirectional instability. Or it may be associated with multiple factors including capsular laxity, weak musculature and atrophic ligaments in cases of multidirectional instability. 3- Thorough history and detailed clinical examination of both shoulders is important to diagnose hyperlaxity. 4- MRI examination, examination under anaesthesia, and diagnostic arthroscopy are the main clues for diagnosis of recurrent traumatic instability and proper decision making. 5- A young, athletic patient should undergo surgical reconstruction after a primary shoulder dislocation; the operation of choice for primary and recurrent dislocation is arthroscopic Bankart repair. 6- There is no sufficient evidence that an arthroscopic Bankart repair. is as good as an open procedure; 7- There are limited indications for other operative techniques, as they are associated with a higher recurrent |