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FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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– atraumatic involuntary subluxation. Thomas and Matsen ( 9 ) classically divided shoulder instability into one of two broad categories: traumatic, unilateral, Bankart, surgery (TUBS) and of atraumatic, multidirectional, bilateral, rehabilitation, inferior
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classified the HSD according to the size into “mild, moderately severe, and severe”. They reported high incidence of recurrent dislocation in cases of instability with severe defects that had been treated by Bankart repair only. Burkhart and De Beer 11
The University of Western Australia, Perth, Australia
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Clinique Victor Hugo, 5 Bis rue du Dôme 75016 Paris, France
American Hospital of Paris, 55 Boulevard du Château, 92200 Neuilly-sur-Seine, France
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Shoulder, Elbow Unit, Sportsclinicnumber1, Papiermuehlestrasse 73, 3014 Bern, Switzerland
Shoulder, Elbow and Orthopaedic Sports Medicine, Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, Bern, Switzerland
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Royal Perth Hospital, Perth, Australia
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(Bankart and variants or humeral avulsion of glenohumeral ligament (HAGL)). Recurrent episodes may include further dislocations, symptomatic subluxations or apprehension. The clinical assessment, imaging and injury patterns were previously described in
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School of Surgery, University of Western Australia, Perth, Australia
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process to the glenoid neck above the subscapularis, the conjoint tendon acts as a ‘seatbelt’ ensuring that the subscapularis remains in contact with the anterior glenoid rim and effectively closing the Bankart or Broca–Hartmann detachment ( Figs 2 and 3
Dworska Hospital, Kraków, Poland
Hospital in Proszowice, Poland
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ligaments is performed using the same anchors. Given that, the transpositioned LHBT tendon, just like in the Latarjet procedure, provides triple mechanism of sling effect stabilization. In recent years, shoulder stabilization by arthroscopic Bankart repair
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(9%, 21%, 34% and 46% of the glenoid length) stepwise and measured the shoulder stability after the Bankart repair with each size of bony defect ( Fig. 1 ). 11 It was interesting that the shoulder stability was well preserved even with the
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the classical Bankart lesion, the separation of the anterior capsule and the labrum from the glenoid rim occurs; sometimes it can be accompanied by a glenoid rim fracture (bony-Bankart). 4 , 5 Associated lesions such as humeral avulsion of the
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types of fractures, is most commonly used in the literature ( Fig. 1 ). Type I is a glenoid rim fracture, subdivided into type Ia (anterior rim fracture), and type Ib (posterior rim fracture). Type Ia, also called ‘Bony Bankart’, is the most common
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rotation (ICR) of the humeral head. This is different from the ‘engaging’-vs-‘non-engaging’ classification, which is a clinical evaluation performed preoperatively under general anesthesia, where the humeral head dislocates due to the unrepaired Bankart
Sport Traumatology and Biomechanics Unit, Rehasport Clinic, Poznan University of Medical Sciences, Poznan, Poland
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recurrence of instability after primary arthroscopic Bankart repair. The literature that evaluates the relationship between the bony lesions and the recurrence of the shoulder instability reports rates from 4% to 67% in shoulders without and with significant