2001 年 25 巻 3 号 p. 535-539
[Purpose] We performed arthroscopic suture anchor repair of Bankart lesion for traumatic anterior instability of the shoulder. Although we had chosen the Caspari technique, one of the transglenoid suture techniques since November 1992, we have performed suture anchor repair since November 1998. The purpose of this study is to evaluate the short-term clinical results of arthroscopic suture anchor repair of Bankart lesion
[Materials and Methods] We retrospectively studied 15 patients (15 shoulders) who had received arthroscopic suture anchor repair and were followed up more than 1 year. Patients were 12 males and 3 females. Seven patients had initial traumatic dislocation, and 8 had recurrent anterior subluxation or dislocation. The average age at operation was 20 years (range,13-28). The average postoperative follow-up period was 16 months (range,12-24).
[Results] There was no re-dislocation or re-subluxation postoperatively. In the Rowe scoring system,11 shoulders were exellent,4 good. The average Rowe's score was 94 points (80-100). There was no complication. The average limitation of external rotation was 4° at 90° abduction but it was not inconvenient for them. Average strength of external rotation was higher than who received Caspari technique.
[Discussion] There is a risk of suprascapular nerve injury in the transglenoid suture technique. In the suture anchor technique it is said that there is a problem of anchor stability in some cases, but this procedure achieved good clinical results in short-term follow-up.