Does glenoid remodeling occur with an erosion-type bone loss after arthroscopic Bankart repair?

Autor: Nagaya LH; Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan., Yamamoto N; Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan., Shinagawa K; Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan., Hatta T; Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan., Itoi E; Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan.
Jazyk: angličtina
Zdroj: JSES international [JSES Int] 2020 Jul 15; Vol. 4 (4), pp. 814-817. Date of Electronic Publication: 2020 Jul 15 (Print Publication: 2020).
DOI: 10.1016/j.jseint.2020.06.002
Abstrakt: Introduction: Fragment-type glenoid bone loss is known to remodel after arthroscopic Bankart repair. To our knowledge, no studies have been reported about the morphologic changes of the erosion-type bone loss.
Aim: To determine the morphologic changes of erosion-type glenoid bone loss after arthroscopic Bankart repair.
Methods: Twenty-eight patients (mean age: 31 years) with traumatic anterior glenohumeral instability with an erosion-type glenoid bone loss <25% underwent arthroscopic Bankart repair. The minimum follow-up was 2 years. Pre- and postoperative bilateral computed tomography scans were performed in all patients. The width and surface area of the glenoid were measured by a software program and compared pre- and postoperatively.
Results: The recurrence rate was 7.1% (2 of 28 shoulders). The size of the bone loss was 7.2% ± 5.3% (mean ± standard deviation). The preoperative glenoid width and area were 24.9 ± 2.2 mm and 7.0 ± 0.8 cm 2 , respectively, and the postoperative ones (2 years after surgery) were 24.7 ± 2.2 mm and 6.8 ± 0.8 cm 2 , respectively. There were no significant differences between the pre- and postoperative glenoid width and area.
Discussion and Conclusion: Unlike the fragment-type bone loss, the erosion-type bone loss <25% did not show any morphologic changes of the glenoid at least 2 years after arthroscopic Bankart repair.
(© 2020 The Authors.)
Databáze: MEDLINE