Research progress of surgical treatment for anterior shoulder dislocation and combined injuries_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

LIANG Daqiang , QIU Zhihe , LIU Haifeng ,  LU Wei

Department of Sports Medicine, the First Affiliated Hospital of Shenzhen University (Shenzhen Second People’s Hospital), Shenzhen Guangdong, 518035, P.R.China;

Corresponding author：

LU Wei, Email: winerl@sina.com

Keywords：

Anterior shoulder dislocation; combined injury; surgical treatment; research progress

DOI：

10.7507/1002-1892.201901021

Video：

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Objective To summarize the research progress of surgical treatment for anterior shoulder dislocation and combined injuries. Methods The related literature was reviewed, and the surgical treatment options for the anterior shoulder dislocation and its combined injuries were summarized. Results Anterior shoulder dislocation can combine with anteroinferior capsular ligament complex injury (Bankart injury), bony Bankart defect, and Hill-Sachs lesion. For Bankart and bony Bankart injuries, arthroscopic repair or coracoid osteotomy combined with bony graft reconstruction can be performed. For Hill-Sachs lesion, conservative treatment, soft tissue repair, or bony reconstruction should be selected based on the extent of the bone defect. For bipolar injury, the Bankart repair, Remplissage, or arthroplasty should be selected based on the extent of the glenoid defect. Conclusion With the development of arthroscopy and the improvement of the surgical concept, there is a complete set of surgical options for various injuries of the anterior shoulder dislocation. When choosing a surgical procedure, the patient’s specific injury and age, exercise level, and other relating factors should be comprehensively assessed in order to achieve the best results.

Citation： LIANG Daqiang, QIU Zhihe, LIU Haifeng, LU Wei. Research progress of surgical treatment for anterior shoulder dislocation and combined injuries. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(6): 768-773. doi: 10.7507/1002-1892.201901021 Copy

1.	Hovelius L. Shoulder dislocation in Swedish ice hockey players. Am J Sports Med, 1978, 6(6): 373-377.
2.	Kim SH, Ha KI, Kim SH. Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy, 2002, 18(7): 755-763.
3.	Kropf EJ, Tjoumakaris FP, Sekiya JK. Arthroscopic shoulder stabilization: is there ever a need to open? Arthroscopy, 2007, 23(7): 779-784.
4.	Chen L, Xu Z, Peng J, et al. Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data. Arch Orthop Trauma Surg, 2015, 135(4): 529-538.
5.	Judson CH, Voss A, Obopilwe E, et al. An anatomic and biomechanical comparison of Bankart repair configurations. Am J Sports Med, 2017, 45(13): 3004-3009.
6.	Spiegl UJ, Smith SD, Todd JN, et al. Biomechanical comparison of arthroscopic single- and double-row repair techniques for acute bony Bankart lesions. Am J Sports Med, 2014, 42(8): 1939-1946.
7.	Cvetanovich GL, McCormick F, Erickson BJ, et al. The posterolateral portal: optimizing anchor placement and labral repair at the inferior glenoid. Arthrosc Tech, 2013, 2(3): e201-e204.
8.	Frank RM, Mall NA, Gupta D, et al. Inferior suture anchor placement during arthroscopic Bankart repair: influence of portal placement and curved drill guide. Am J Sports Med, 2014, 42(5): 1182-1189.
9.	Maiotti M, Russo R, Zanini A, et al. Arthroscopic Bankart repair and subscapularis augmentation: an alternative technique treating anterior shoulder instability with bone loss. J Shoulder Elbow Surg, 2016, 25(6): 898-906.
10.	Maiotti M, Massoni C, Russo R, et al. Arthroscopic subscapularis augmentation of Bankart repair in chronic anterior shoulder instability with bone loss less than 25% and capsular deficiency: clinical multicenter study. Arthroscopy, 2017, 33(5): 902-909.
11.	Flinkkilä T, Knape R, Sirniö K, et al. Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up. Knee Surg Sports Traumatol Arthrosc, 2018, 26(1): 94-99.
12.	Nakagawa S, Iuchi R, Mae T, et al. Clinical outcome of arthroscopic Bankart repair combined with simultaneous capsular repair. Am J Sports Med, 2017, 45(6): 1289-1296.
13.	Boileau P, Bicknell RT, El Fegoun AB, et al. Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the " belt-and-suspenders” operative technique and preliminary results. Arthroscopy, 2007, 23(6): 593-601.
14.	Lafosse L, Lejeune E, Bouchard A, et al. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy, 2007, 23(11): 1242.e1-5.
15.	姜春岩, 吴关, 鲁谊, 等. 关节镜下喙突移位术: 手术技术与早期随访探讨. 中国运动医学杂志, 2014, 33(4): 297-302.
16.	Zimmermann SM, Scheyerer MJ, Farshad M, et al. Long-term restoration of anterior shoulder stability: A retrospective analysis of arthroscopic Bankart repair versus open Latarjet procedure. J Bone Joint Surg (Am), 2016, 98(23): 1954-1961.
17.	Giacomo GD, Costantini A, de Gasperis N, et al. Coracoid bone graft osteolysis after Latarjet procedure: A comparison study between two screws standard technique vs mini-plate fixation. Int J Shoulder Surg, 2013, 7(1): 1-6.
18.	Boileau P, Gendre P, Baba M, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg, 2016, 25(1): 78-89.
19.	Bonnevialle N, Thélu CE, Bouju Y, et al. Arthroscopic Latarjet procedure with double-button fixation: short-term complications and learning curve analysis. J Shoulder Elbow Surg, 2018, 27(6): e189-e195.
20.	Xu J, Liu H, Lu W, et al. Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure. BMC Musculoskeletal Disorders, 2019, 20(1): 173.
21.	黄刚, 柳海峰, 谢卫勇, 等. 关节镜下改良弹性固定 Latarjet 术治疗一例慢性锁定性肩关节前脱位. 中国修复重建外科杂志, 2019, 33(3): 387-389.
22.	Montgomery SR, Katthagen JC, Mikula JD, et al. Anatomic and biomechanical comparison of the classic and Congruent-Arc techniques of the Latarjet procedure. Am J Sports Med, 2017, 45(6): 1252-1260.
23.	Dumont GD, Vopat BG, Parada S, et al. Traditional versus Congruent Arc Latarjet technique: Effect on surface area for union and bone width surrounding screws. Arthroscopy, 2017, 33(5): 946-952.
24.	Bockmann B, Venjakob AJ, Gebing R, et al. Bone grafts used for arthroscopic glenoid reconstruction restore the native glenoid anatomy. Knee Surg Sports Traumatol Arthrosc, 2018, 26(1): 299-305.
25.	Kwapisz A, Fitzpatrick K, Cook JB, et al. Distal clavicular osteochondral autograft augmentation for glenoid bone loss: A comparison of radius of restoration versus Latarjet graft. Am J Sports Med, 2018, 46(5): 1046-1052.
26.	Frank RM, Romeo AA, Richardson C, et al. Outcomes of Latarjet versus distal tibia allograft for anterior shoulder instability repair: A matched cohort analysis. Am J Sports Med, 2018, 46(5): 1030-1038.
27.	鹿鸣, 刘玉杰, 申学振, 等. 肩胛冈骨块移植骨横钉固定修复骨性 Bankart 损伤. 中国矫形外科杂志, 2018, 26(14): 1333-1337.
28.	Brilakis E, Avramidis G, Malahias MA, et al. Long-term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging Hill-Sachs lesions. Knee Surg Sports Traumatol Arthrosc, 2019, 27(1): 305-313.
29.	Boileau P, O’Shea K, Vargas P, et al. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg (Am), 2012, 94(7): 618-626.
30.	Brilakis E, Mataragas E, Deligeorgis A, et al. Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability. Knee Surg Sports Traumatol Arthrosc, 2016, 24(2): 593-600.
31.	Garcia GH, Degen RM, Bui CNH, et al. Biomechanical comparison of acute Hill-Sachs reduction with remplissage to treat complex anterior instability. J Shoulder Elbow Surg, 2017, 26(6): 1088-1096.
32.	Stachowicz RZ, Romanowski JR, Wissman R, et al. Percutaneous balloon humeroplasty for Hill-Sachs lesions: a novel technique. J Shoulder Elbow Surg, 2013, 22(9): e7-13.
33.	Ratner D, Backes J, Tokish JM. Arthroscopic reduction and balloon humeroplasty in the treatment of acute Hill-Sachs lesions. Arthrosc Tech, 2016, 5(6): e1327-e1332.
34.	Saltzman BM, Riboh JC, Cole BJ, et al. Humeral head reconstruction with osteochondral allograft transplantation. Arthroscopy, 2015, 31(9): 1827-1834.
35.	Haber DB, Sanchez A, Sanchez G, et al. Bipolar bone loss of the shoulder joint due to recurrent instability: use of fresh osteochondral distal tibia and humeral head allografts. Arthrosc Tech, 2017, 6(3): e893-e899.
36.	Werner BS, Böhm D, Abdelkawi A, et al. Glenoid bone grafting in reverse shoulder arthroplasty for long-standing anterior shoulder dislocation. J Shoulder Elbow Surg, 2014, 23(11): 1655-1661.
37.	Raiss P, Zeifang F, Pons-Villanueva J, et al. Reverse arthroplasty for osteoarthritis and rotator cuff deficiency after previous surgery for recurrent anterior shoulder instability. Int Orthop, 2014, 38(7): 1407-1413.
38.	Yamamoto N, Itoi E, Abe H, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg, 2007, 16(5): 649-656.
39.	Ramhamadany E, Modi CS. Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss. World J Orthop, 2016, 7(6): 343-354.
40.	Atef A, El-Tantawy A, Gad H, et al. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop, 2016, 40(3): 519-524.
41.	Merlini L, Yalizis M, Carrillon Y, et al. Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. J Shoulder Elbow Surg, 2018, 27(8): 1456-1461.
42.	Forsythe B, Martin SD. Concomitant arthroscopic SLAP and rotator cuff repair: surgical technique. J Bone Joint Surg (Am), 2011, 93(Suppl 1): 1-9.
43.	杨睿, 陈仲, 邓海权, 等. 骨性 Bankart 损伤合并肩袖损伤的病例特点和关节镜治疗策略. 中国运动医学杂志, 2016, 35(8): 703-707.

1. Hovelius L. Shoulder dislocation in Swedish ice hockey players. Am J Sports Med, 1978, 6(6): 373-377.
2. Kim SH, Ha KI, Kim SH. Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy, 2002, 18(7): 755-763.
3. Kropf EJ, Tjoumakaris FP, Sekiya JK. Arthroscopic shoulder stabilization: is there ever a need to open? Arthroscopy, 2007, 23(7): 779-784.
4. Chen L, Xu Z, Peng J, et al. Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data. Arch Orthop Trauma Surg, 2015, 135(4): 529-538.
5. Judson CH, Voss A, Obopilwe E, et al. An anatomic and biomechanical comparison of Bankart repair configurations. Am J Sports Med, 2017, 45(13): 3004-3009.
6. Spiegl UJ, Smith SD, Todd JN, et al. Biomechanical comparison of arthroscopic single- and double-row repair techniques for acute bony Bankart lesions. Am J Sports Med, 2014, 42(8): 1939-1946.
7. Cvetanovich GL, McCormick F, Erickson BJ, et al. The posterolateral portal: optimizing anchor placement and labral repair at the inferior glenoid. Arthrosc Tech, 2013, 2(3): e201-e204.
8. Frank RM, Mall NA, Gupta D, et al. Inferior suture anchor placement during arthroscopic Bankart repair: influence of portal placement and curved drill guide. Am J Sports Med, 2014, 42(5): 1182-1189.
9. Maiotti M, Russo R, Zanini A, et al. Arthroscopic Bankart repair and subscapularis augmentation: an alternative technique treating anterior shoulder instability with bone loss. J Shoulder Elbow Surg, 2016, 25(6): 898-906.
10. Maiotti M, Massoni C, Russo R, et al. Arthroscopic subscapularis augmentation of Bankart repair in chronic anterior shoulder instability with bone loss less than 25% and capsular deficiency: clinical multicenter study. Arthroscopy, 2017, 33(5): 902-909.
11. Flinkkilä T, Knape R, Sirniö K, et al. Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up. Knee Surg Sports Traumatol Arthrosc, 2018, 26(1): 94-99.
12. Nakagawa S, Iuchi R, Mae T, et al. Clinical outcome of arthroscopic Bankart repair combined with simultaneous capsular repair. Am J Sports Med, 2017, 45(6): 1289-1296.
13. Boileau P, Bicknell RT, El Fegoun AB, et al. Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the " belt-and-suspenders” operative technique and preliminary results. Arthroscopy, 2007, 23(6): 593-601.
14. Lafosse L, Lejeune E, Bouchard A, et al. The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability. Arthroscopy, 2007, 23(11): 1242.e1-5.
15. 姜春岩, 吴关, 鲁谊, 等. 关节镜下喙突移位术: 手术技术与早期随访探讨. 中国运动医学杂志, 2014, 33(4): 297-302.
16. Zimmermann SM, Scheyerer MJ, Farshad M, et al. Long-term restoration of anterior shoulder stability: A retrospective analysis of arthroscopic Bankart repair versus open Latarjet procedure. J Bone Joint Surg (Am), 2016, 98(23): 1954-1961.
17. Giacomo GD, Costantini A, de Gasperis N, et al. Coracoid bone graft osteolysis after Latarjet procedure: A comparison study between two screws standard technique vs mini-plate fixation. Int J Shoulder Surg, 2013, 7(1): 1-6.
18. Boileau P, Gendre P, Baba M, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg, 2016, 25(1): 78-89.
19. Bonnevialle N, Thélu CE, Bouju Y, et al. Arthroscopic Latarjet procedure with double-button fixation: short-term complications and learning curve analysis. J Shoulder Elbow Surg, 2018, 27(6): e189-e195.
20. Xu J, Liu H, Lu W, et al. Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure. BMC Musculoskeletal Disorders, 2019, 20(1): 173.
21. 黄刚, 柳海峰, 谢卫勇, 等. 关节镜下改良弹性固定 Latarjet 术治疗一例慢性锁定性肩关节前脱位. 中国修复重建外科杂志, 2019, 33(3): 387-389.
22. Montgomery SR, Katthagen JC, Mikula JD, et al. Anatomic and biomechanical comparison of the classic and Congruent-Arc techniques of the Latarjet procedure. Am J Sports Med, 2017, 45(6): 1252-1260.
23. Dumont GD, Vopat BG, Parada S, et al. Traditional versus Congruent Arc Latarjet technique: Effect on surface area for union and bone width surrounding screws. Arthroscopy, 2017, 33(5): 946-952.
24. Bockmann B, Venjakob AJ, Gebing R, et al. Bone grafts used for arthroscopic glenoid reconstruction restore the native glenoid anatomy. Knee Surg Sports Traumatol Arthrosc, 2018, 26(1): 299-305.
25. Kwapisz A, Fitzpatrick K, Cook JB, et al. Distal clavicular osteochondral autograft augmentation for glenoid bone loss: A comparison of radius of restoration versus Latarjet graft. Am J Sports Med, 2018, 46(5): 1046-1052.
26. Frank RM, Romeo AA, Richardson C, et al. Outcomes of Latarjet versus distal tibia allograft for anterior shoulder instability repair: A matched cohort analysis. Am J Sports Med, 2018, 46(5): 1030-1038.
27. 鹿鸣, 刘玉杰, 申学振, 等. 肩胛冈骨块移植骨横钉固定修复骨性 Bankart 损伤. 中国矫形外科杂志, 2018, 26(14): 1333-1337.
28. Brilakis E, Avramidis G, Malahias MA, et al. Long-term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging Hill-Sachs lesions. Knee Surg Sports Traumatol Arthrosc, 2019, 27(1): 305-313.
29. Boileau P, O’Shea K, Vargas P, et al. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg (Am), 2012, 94(7): 618-626.
30. Brilakis E, Mataragas E, Deligeorgis A, et al. Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability. Knee Surg Sports Traumatol Arthrosc, 2016, 24(2): 593-600.
31. Garcia GH, Degen RM, Bui CNH, et al. Biomechanical comparison of acute Hill-Sachs reduction with remplissage to treat complex anterior instability. J Shoulder Elbow Surg, 2017, 26(6): 1088-1096.
32. Stachowicz RZ, Romanowski JR, Wissman R, et al. Percutaneous balloon humeroplasty for Hill-Sachs lesions: a novel technique. J Shoulder Elbow Surg, 2013, 22(9): e7-13.
33. Ratner D, Backes J, Tokish JM. Arthroscopic reduction and balloon humeroplasty in the treatment of acute Hill-Sachs lesions. Arthrosc Tech, 2016, 5(6): e1327-e1332.
34. Saltzman BM, Riboh JC, Cole BJ, et al. Humeral head reconstruction with osteochondral allograft transplantation. Arthroscopy, 2015, 31(9): 1827-1834.
35. Haber DB, Sanchez A, Sanchez G, et al. Bipolar bone loss of the shoulder joint due to recurrent instability: use of fresh osteochondral distal tibia and humeral head allografts. Arthrosc Tech, 2017, 6(3): e893-e899.
36. Werner BS, Böhm D, Abdelkawi A, et al. Glenoid bone grafting in reverse shoulder arthroplasty for long-standing anterior shoulder dislocation. J Shoulder Elbow Surg, 2014, 23(11): 1655-1661.
37. Raiss P, Zeifang F, Pons-Villanueva J, et al. Reverse arthroplasty for osteoarthritis and rotator cuff deficiency after previous surgery for recurrent anterior shoulder instability. Int Orthop, 2014, 38(7): 1407-1413.
38. Yamamoto N, Itoi E, Abe H, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg, 2007, 16(5): 649-656.
39. Ramhamadany E, Modi CS. Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss. World J Orthop, 2016, 7(6): 343-354.
40. Atef A, El-Tantawy A, Gad H, et al. Prevalence of associated injuries after anterior shoulder dislocation: a prospective study. Int Orthop, 2016, 40(3): 519-524.
41. Merlini L, Yalizis M, Carrillon Y, et al. Hidden degloving rotator cuff tears secondary to glenohumeral dislocation. J Shoulder Elbow Surg, 2018, 27(8): 1456-1461.
42. Forsythe B, Martin SD. Concomitant arthroscopic SLAP and rotator cuff repair: surgical technique. J Bone Joint Surg (Am), 2011, 93(Suppl 1): 1-9.
43. 杨睿, 陈仲, 邓海权, 等. 骨性 Bankart 损伤合并肩袖损伤的病例特点和关节镜治疗策略. 中国运动医学杂志, 2016, 35(8): 703-707.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress of surgical treatment for anterior shoulder dislocation and combined injuries

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