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MIS Techniques in Orthopedics pp 3–20Cite as

Mini-Incision bankart Repair for Shoulder Instability

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Abstract

The tenuous balance between stability and motion of the glenohumeral joint often results in one of the most common problems encountered by the orthopedic surgeon. Historically, surgical treatment of glenohumeral instability was generally indicated only for recurrent anterior dislocations. The breadth of operative procedures to treat anterior shoulder instability has included staple capsulorraphy, 1, subscapularis transposition, 2 shortening of the subscapularis and anterior capsule, 3 transfer of the coracoid, 4 and osteotomies of the proximal humerus 5 or the glenoid neck. 6 In terms of measuring clinical success based on recurrence of dislocation, these various procedures were very effective. However, restricted external rotation and overhead motion sacrificed stability at the expense of function and led to the recognition of late glenohumeral osteoarthrosis following some of these repairs. 7–11 Furthermore, the traditional limited operative indications failed to account for the growing awareness of subluxations as a source of symptomatic instability. 12–15 Better understanding of glenohumeral joint biomechanics, the role of the capsuloligamentous structures, and their modes of failure has led to an emphasis on restoration of normal anatomic relationships.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Mount Sinai Medical Center, New York, NY, 10029, USA

    Edward W. Lee MD (Clinical Shoulder Fellow) & Evan L. Flatow MD (Lasker Professor of Orthopedic Surgery, Chief of Shoulder Surgery)

Authors
  1. Edward W. Lee MD
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  2. Evan L. Flatow MD
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© 2006 Springer Science+Business Media, Inc.

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Lee, E.W., Flatow, E.L. (2006). Mini-Incision bankart Repair for Shoulder Instability. In: MIS Techniques in Orthopedics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-29300-4_1

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  • DOI: https://doi.org/10.1007/978-0-387-29300-4_1

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-24210-1

  • Online ISBN: 978-0-387-29300-4

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