Arthroscopic Stapling for Treatment of Recurrent Shoulder Dislocation

Lee, Byung Il; Choi, Chang Uk

Abstract

Various methods have been described for sugical management of patients who have recurrent anterior shoulder dislocation. In recent years, great advancements have been made in arthroscopic surgery of anterior shoulder dislocation. From June, 1987 to December, 1989, 10 shoulders in 10 patients who experienced recurrent traumatic anterior dislocation were repaired with the arthroscopic stapling technique. Among them, 6 cases which could be followed for more than 1 year were analyzed. Postoperstive follow-up averaged 21 months (range 1 year to 3 years). The results were summarized as follows: l. Average patient age was 24 years with an age range from 20 to 31 years. All 6 cases were male. 2. The orighinal dislocation involved an injury in all cases. It had occurred between 18 months and 6 years before surgery. Every patients had had 4 or more recurrences. 3. Among the 6 cases, 5 cases were found to have a Bankart lesion and 3 cases, a Hill-Sachs lesion at surgery. 4. There have been no postoperative recurrence up to date. 5. 7 and 10 degrees restriction in external rotation, as compared to the contralateral shoulder, was noted in 2 patients. 6. Clinical results of 6 cases, based on the Rowe shoulder rationg system, were 4 excellent and 2 good. 7. No instances of infection, instrument failure, or major neurovascular complications occurred in this series.