Arthroscopic Stabilization Bankart
The shoulder can become unstable and the ball on the upper end of the arm (humerus) either partially shift out of joint (subluxate) or completely dislocate out of the socket (glenoid). In patients that experience recurrent subluxations or dislocations, surgery is recommended to minimize further damage and prevent instability of the shoulder. Younger overhead athletes, and those involved in contact sports are considered to be “high risk” and consideration may be given to stabilizing the shoulder earlier because of a high probability of the shoulder dislocating. The goal of surgery is to restore the shoulder anatomy to as normal of a condition as possible. While traditionally this has been performed in an open manner, over the past twenty years minimally invasive arthroscopic techniques have been developed. This latter approach avoids cutting into and detaching the front of the rotator cuff and also minimizes scarring. Small absorbable anchors with attached sutures are inserted into the rim of the cup. The sutures are then passes through the capsule and labrum (cartilage rim) to reattach the torn tissue to its appropriate position on the rim of the cup and thereby reestablish appropriate tension. While there may be less pain and scar tissue, and somewhat easier rehabilitation, the time for healing of the repair is similar to the open procedure. Employing current techniques, the success rates for properly selected patients undergoing open and arthroscopic surgeries are equivalent. Patients with gross multidirectional laxity or those that have significant bone loss from the cup or ball may be better managed with open surgical techniques. Following surgery, the shoulder is immobilized in a sling for approximately four weeks. Physical therapy with range of motion exercises generally begins at 7 – 10 days, with light strengthening at four to six weeks. Unrestricted activity is permitted at five to six months.