Mini-incision Bankart Repair

  • Edward W. Lee
  • Kenneth Accousti
  • Evan L. Flatow


Recurrent instability has plagued physicians since ancient times, because this problem can lead to severe disability. The tenuous balance between stability and motion of the glenohumeral joint makes treatment difficult. Historically, surgical procedures to stabilize the shoulder were used mostly for recurrent, locked anterior dislocations. These 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 humerus5 or the glenoid neck.6 Most were successful in the sense of eliminating recurrent dislocations, but often at the cost of restricted external rotation and a resultant risk of late glenohumeral osteoarthrosis.711 Furthermore, the traditional limited operative indications failed to account for the growing awareness of subluxations as a source of symptomatic instability.1215 Better understanding of gleno-humeral joint biomechanics, the role of the capsuloligamentous structures, and their modes of failure has led to an emphasis on restoration of normal anatomic relationships.

Recent uses of minimally invasive surgery to correct a myriad of orthopedic problems through smaller incisions has included the shoulder, producing a better cosmetic appearance following surgery, and in many cases, providing decreased postoperative pain when compared with similar operations performed through standard incisions.


Rotator Cuff External Rotation Humeral Head Glenohumeral Joint Rotator Interval 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Edward W. Lee
    • 1
  • Kenneth Accousti
    • 1
  • Evan L. Flatow
    • 1
  1. 1.Peter & Leni May Department of Orthopaedic SurgeryMount Sinai Medical CenterNew YorkUSA

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