Abstract
We report a case of anterior shoulder instability who underwent arthroscopic repair for Bankart lesion, rotator cuff tear, and large Hill-Sachs lesion. The patient was a 81-year-old right-handed female with right shoulder pain. She had dislocation of the right shoulder with intercuspation three years ago. At that time, a large part of the humeral head had collapsed in radiographs but surgical treatment was not performed. One week before visiting our clinic, she felt right shoulder pain when she leaned against the wall with the right hand. Anterior shoulder dislocation was observed in radiographs. Humeral head and glenoid cavity showed intercuspation. In magnetic resonance imaging (MRI), there were Bankart lesion, rotator cuff tear, and large collapse of the humeral head. We reduced the right shoulder under general anesthesia, but it dislocated again easily. We repaired the Bankart lesion arthroscopically, and the collapsed humeral head with an iliac bone graft (1.5×1.0×1.0cm), and tixed it using the rotator cuff and suture anchor. Right shoulder pain improved remarkably after the surgery. She has no re-dislocation since surgery, and JOA score was 85 points at six months after surgry.
