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Bankart Procedure Augmented by Coracoid Transfer for Contact Athletes with Traumatic Anterior Shoulder Instability

Minoru Yoneda, MD, PhD^*,, Kenji Hayashida, MD, PhD, Shigeyuki Wakitani, MD, PhD, Shigeto Nakagawa, MD, PhD^|| and Sunao Fukushima, MD^a

^* Osaka Kosei-Nenkin Hospital, Osaka
Osaka University Medical School, Suita
Osaka-Minami National Hospital, Kawachinagano
^|| Hoshigaoka Kosei-Nenkin Hospital, Hirakata
^a Sapporo Medical University, Sapporo, Japan

Address correspondence and reprint requests to Minoru Yoneda, MD, PhD, Department of Orthopaedic Surgery, Osaka Kosei-Nenkin Hospital, 4-2-78 Fukushima, Fukushima-Ku, Osaka 553, Japan

We investigated the clinical efficacy of the Bankart procedure augmented by coracoid transfer for traumatic anterior shoulder instability in athletes playing contact sports. Eighty-three athletes (85 joints) with traumatic anterior shoulder instability who underwent the combined procedure were studied. The mean patient age at surgery was 21 years, and the mean follow-up period was 5.8 years (range, 2 to 12). According to the Rowe scoring system, the clinical results were graded as excellent for 58 shoulders, good for 21, fair for 5, and poor for 1, with an average score of 91 points. The overall success rate was 93%. A complete return to contact sports was achieved by 73 of the 83 patients (88%). The average loss of external rotation was 15° with the arm at the side and 7° with the arm in 90° of abduction. The complications were nonunions in two cases, screw breakage in one case, and axillary nerve injury in one. This procedure can achieve a good clinical outcome for contact athletes with traumatic anterior shoulder instability.

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				P. J. Millett, P. Clavert, and J. J.P. Warner Open Operative Treatment for Anterior Shoulder Instability: When and Why? J. Bone Joint Surg. Am., February 1, 2005; 87(2): 419 - 432. [Abstract] [Full Text] [PDF]