Skip to main content
SpringerLink
Log in

Open and Arthroscopic Posterior Bankart Repair

  • Chapter
  • First Online:
360° Around Shoulder Instability

  • 832 Accesses

Abstract

Posterior shoulder instability is commonly missed as a cause of shoulder dysfunction, due to the fact that clinical symptoms may differ from those found in anterior instability. Microtraumas produced by repetitive gestures cause progressive injury of the posterior stabilizers of the joint, causing mostly pain. It is crucial to identify the etiology and the clinical pattern to decide the correct treatment.

Traumatic unidirectional instability is often related to labrum injury and capsular stretching. Additional bone loss on posterior glenoid rim or anterior humeral head can be found. In these cases, posterior labrum repair is usually performed using arthroscopic techniques. Capsular plications and treatment of the bone defects may be associated if necessary. Open surgical procedures can be used when significant posterior glenoid bone loss is present or a previous soft-tissue stabilization has failed, but there is trend on limiting the indications of open surgical approaches.

Overall outcomes are very satisfactory in terms of patient’s satisfaction, recurrence rate, and return to play, though return to the pre-injury level may depend on the type of sport practiced.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lanzi JT Jr, Chandler PJ, Cameron KL, Bader JM, Owens BD. Epidemiology of posterior glenohumeral instability in a young athletic population. Am J Sports Med. 2017;45(14):3315–21.

    Article  Google Scholar 

  2. Tannenbaum E, Sekiya JK. Evaluation and management of posterior shoulder instability. Sports Health. 2011;3(3):253–63.

    Article  Google Scholar 

  3. Van Tongel A, Karelse A, Berghs B, Verdonk R, De Wilde L. Posterior shoulder instability: current concepts review. Knee Surg Sports Traumatol Arthrosc. 2011;19(9):1547–53.

    Article  Google Scholar 

  4. Kim SH, Ha KI, Park JH, Kim YM, Lee YS, Lee JY, Yoo JC. Arthroscopic posterior labral repair and capsular shift for traumatic unidirectional recurrent posterior subluxation of the shoulder. J Bone Joint Surg Am. 2003;85-A(8):1479–87.

    Article  Google Scholar 

  5. Neviaser TJ. The GLAD lesion: another cause of anterior shoulder pain. Arthroscopy. 1993;9(1):22–3.

    Article  CAS  Google Scholar 

  6. Frank RM, Romeo AA, Provencher MT. Posterior glenohumeral instability: evidence-based treatment. J Am Acad Orthop Surg. 2017;25(9):610–23.

    Article  Google Scholar 

  7. Kim SH, Ha KI, Yoo JC, Noh KC. Kim's lesion: an incomplete and concealed avulsion of the posteroinferior labrum in posterior or multidirectional posteroinferior instability of the shoulder. Arthroscopy. 2004;20(7):712–20.

    Article  Google Scholar 

  8. Kim SH, Park JS, Jeong WK, Shin SK. The Kim test: a novel test for posteroinferior labral lesion of the shoulder—a comparison to the jerk test. Am J Sports Med. 2005;33(8):1188–92.

    Article  Google Scholar 

  9. McIntyre K, Bélanger A, Dhir J, Somerville L, Watson L, Willis M, Sadi J. Evidence-based conservative rehabilitation for posterior glenohumeral instability: a systematic review. Phys Ther Sport. 2016;22:94–100.

    Article  Google Scholar 

  10. Castagna A, Conti M, Garofalo R. Soft tissue-based surgical techniques for treatment of posterior shoulder instability. Obere Extrem. 2017;12(2):82–9.

    Article  Google Scholar 

  11. DeLong JM, Jiang K, Bradley JP. Posterior instability of the shoulder: a systematic review and meta-analysis of clinical outcomes. Am J Sports Med. 2015;43(7):1805–17.

    Article  Google Scholar 

  12. Provencher MT, LeClere LE, King S, McDonald LS, Frank RM, Mologne TS, Ghodadra NS, Romeo AA. Posterior instability of the shoulder: diagnosis and management. Am J Sports Med. 2011;39(4):874–86.

    Article  Google Scholar 

  13. Bradley JP, Baker CL III, Kline AJ, Armfield DR, Chhabra A. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 100 shoulders. Am J Sports Med. 2006;34(7):1061–71.

    Article  Google Scholar 

  14. Wellmann M, Pastor MF, Ettinger M, Koester K, Smith T. Arthroscopic posterior bone block stabilization-early results of an effective procedure for the recurrent posterior instability. Knee Surg Sports Traumatol Arthrosc. 2018;26(1):292–8.

    Article  Google Scholar 

  15. Schwartz DG, Goebel S, Piper K, Kordasiewicz B, Boyle S, Lafosse L. Arthroscopic posterior bone block augmentation in posterior shoulder instability. J Shoulder Elb Surg. 2013;22(8):1092–101.

    Article  Google Scholar 

  16. Davidson PA, Rivenburgh DW. The 7-o’clock posteroinferior portal for shoulder arthroscopy. Am J Sports Med. 2002;30(5):693–6.

    Article  Google Scholar 

  17. Robinson CM, Seah M, Akhtar MA. The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am. 2011;93(17):1605–13.

    Article  Google Scholar 

  18. Provencher MT, Frank RM, Leclere LE, Metzger PD, Ryu JJ, Bernhardson A, Romeo AA. The Hill-Sachs lesion: diagnosis, classification, and management. J Am Acad Orthop Surg. 2012;20(4):242–52.

    Article  Google Scholar 

  19. Longo UG, Rizzello G, Locher J, Salvatore G, Florio P, Maffulli N, Denaro V. Bone loss in patients with posterior gleno-humeral instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):612–7.

    Article  Google Scholar 

  20. Duey RE, Burkhart SS. Arthroscopic treatment of a reverse Hill-Sachs lesion. Arthrosc Tech. 2013;2(2):e155–9.

    Article  Google Scholar 

  21. Lavender CD, Hanzlik SR, Pearson SE, Caldwell PE III. Arthroscopic reverse remplissage for posterior instability. Arthrosc Tech. 2016;5(1):e43–7.

    Article  Google Scholar 

  22. Tibone JE, Prietto C, Jobe FW, Kerlan RW, Carter VS, Shields CL Jr, Lombardo SJ, Collins HR, Yocum LA. Staple capsulorrhaphy for recurrent posterior shoulder dislocation. Am J Sports Med. 1981;9(3):135–9.

    Article  CAS  Google Scholar 

  23. Hawkins RJ, Koppert G, Johnston G. Recurrent posterior instability (subluxation) of the shoulder. J Bone Joint Surg Am. 1984;66(2):169–74.

    Article  CAS  Google Scholar 

  24. Leivadiotou D, Ahrens P. Arthroscopic treatment of posterior shoulder instability: a systematic review. Arthroscopy. 2015;31(3):555–60.

    Article  Google Scholar 

  25. Bradley JP, McClincy MP, Arner JW, Tejwani SG. Arthroscopic capsulolabral reconstruction for posterior instability of the shoulder: a prospective study of 200 shoulders. Am J Sports Med. 2013;41(9):2005–14.

    Article  Google Scholar 

  26. Radkowski CA, Chhabra A, Baker CL III, Tejwani SG, Bradley JP. Arthroscopic capsulolabral repair for posterior shoulder instability in throwing athletes compared with nonthrowing athletes. Am J Sports Med. 2008;36(4):693–9.

    Article  Google Scholar 

  27. Arner JW, McClincy MP, Bradley JP. Arthroscopic stabilization of posterior shoulder instability is successful in American Football Players. Arthroscopy. 2015;31(8):1466–71.

    Article  Google Scholar 

  28. Provencher MT, Bell SJ, Menzel KA, Mologne TS. Arthroscopic treatment of posterior shoulder instability: results in 33 patients. Am J Sports Med. 2005;33(10):1463–71.

    Article  Google Scholar 

  29. Andrieu K, Barth J, Saffarini M, Clavert P, Godenèche A, Mansat P, French Arthroscopy Society. Outcomes of capsulolabral reconstruction for posterior shoulder instability. Orthop Traumatol Surg Res. 2017;103(8S):S189–92.

    Article  CAS  Google Scholar 

  30. Bateman DK, Black EM, Lazarus MD, Abboud JA. Outcomes following arthroscopic repair of posterior labral tears in patients older than 35 years. Orthopedics. 2017;40(2):e305–11.

    Article  Google Scholar 

  31. Bahk MS, Karzel RP, Snyder SJ. Arthroscopic posterior stabilization and anterior capsular plication for recurrent posterior glenohumeral instability. Arthroscopy. 2010;26(9):1172–80.

    Article  Google Scholar 

  32. McClincy MP, Arner JW, Bradley JP. Posterior shoulder instability in throwing athletes: a case-matched comparison of throwers and non-throwers. Arthroscopy. 2015;31(6):1041–51.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Arthrosport Zaragoza, Zaragoza, Spain

    Ángel Calvo Díaz & Pablo Carnero Martín de Soto

  2. IMED Elche Hospital, Alicante, Spain

    Néstor Zurita Uroz

Authors
  1. Ángel Calvo Díaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pablo Carnero Martín de Soto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Néstor Zurita Uroz
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  2. Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy

    Giuseppe Milano

  3. Istituto Ortopedico Gaetano Pini, Prima Clinica Ortopedica, Milan, Italy

    Pietro S. Randelli

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

Rights and permissions

Reprints and permissions

Copyright information

© 2020 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Calvo Díaz, Á., Carnero Martín de Soto, P., Zurita Uroz, N. (2020). Open and Arthroscopic Posterior Bankart Repair. In: Brzóska, R., Milano, G., Randelli, P., Kovačič, L. (eds) 360° Around Shoulder Instability. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61074-9_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61074-9_31

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61073-2

  • Online ISBN: 978-3-662-61074-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation