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Orthopaedic Service, United States Military Academy, West Point, New York
Orthopaedic Service, United States Military Academy, West Point, New York
Orthopaedic Service, United States Military Academy, West Point, New York
Orthopaedic Service, United States Military Academy, West Point, New York
A prospective study evaluating nonoperative treatment versus arthroscopic Bankart suture repair for acute, ini tial dislocation of the shoulder was undertaken in young athletes. All patients met the following criteria: 1) sus tained an acute first-time traumatic anterior dislocation, 2) no history of impingement or occult subluxation, 3) the dislocation required a manual reduction, and 4) no concomitant neurologic injury. Thirty-six athletes (average age, 20 years) met the criteria for inclusion. Group I patients were immobilized for 1 month followed by rehabilitation; they were allowed full activity at 4 months. Group II patients underwent arthroscopic Bankart repair followed by the same protocol as Group I. Group I consisted of 15 athletes. Twelve patients (80%) developed recurrent instability; 7 of the 12 have required open Bankart repair for recurrent instability. Group I consisted of 21 patients; 18 patients (86%) had no recurrent instability at last followup (average, 32 months; range, 15 to 45) (P = 0.001). One patient in Group II has required a subsequent open Bankart repair to treat symptomatic recurrence (P = 0.005).
In this study, arthroscopic Bankart repair significantly reduced the recurrence rate in young athletes who sustained an acute, initial anterior dislocation of the shoulder.
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