We are presenting the early results of the arthroscopic treatment of the anterior-inferior acute and chronic traumatic instability of the shoulder in a population of young, male patients. In this study 32 patients with symptomatic instability were included. Arthroscopic reattachment of the capsule and the labrum has been performed with 3-5 bone anchors. The follow up ranged between 4 and 15 mon...

OBJECTIVE To clinically and radiologically evaluate patients who underwent arthroscopic surgical treatment for anterior shoulder instability by means of the Bankart technique, using metal anchors. METHODS This was a retrospective study on 49 patients who underwent arthroscopic repair of anterior shoulder instability between 2002 and 2007. The patients were evaluated using the Carter-Rowe scor...

 Background: Recurrence rate of rotator cuff tears is still high despite the improvements of surgical techniques, materials used and a better knowledge of the healing process of the rotator cuff tendons. Large to massive rotator cuff tears are particularly associated with a high failure rate, especially in elderly. Augmentation of rotator cuff repairs with extracellular matrix or synthetic patc...

PURPOSE this study was performed to identify the role of arthroscopic capsulo-labral repair (ACR) in unidirectional post-traumatic shoulder instability in adolescent athletes participating in overhead or contact sports. METHODS sixty-five adolescent patients (aged 13 to 18 years) with post-traumatic shoulder instability submitted to arthroscopic surgery were selected from our database. The me...

BACKGROUND Shoulder activity level may be a risk factor for shoulder instability, an indication for surgical intervention, and a risk factor for failure of operative stabilization. HYPOTHESIS Patients undergoing shoulder stabilization surgery have a higher activity level compared with sex- and age-matched healthy controls. STUDY DESIGN Cross-sectional study. LEVEL OF EVIDENCE Level 2. M...

We describe and analyse the results of our technique for repairing chronic massive tears (Goutallier grade 3 or 4) of the rotator cuff using a ligament augmentation and reconstruction system. This prospective, single surgeon series included 29 symptomatic patients (21 male, 8 female) with a mean age of 67.1 years who underwent 31 ligament augmentation and reconstruction system procedures (two b...

We developed a questionnaire to assess patient-reported outcome after surgery of the elbow from interviews with patients. Initially, 17 possible items with five response options were included. A prospective study of 104 patients (107 elbow operations) was carried out to analyse the underlying factor structure, dimensionality, internal and test-retest reliability, construct validity and responsi...

conclusions glenohumeral joint reduction with reconstruction of the humeral head seems to be possible even in a neglected locked posterior shoulder fracture-dislocation. if the depressed osteochondral fragment is still spheric, signs of the avascular necrosis are absent on ct, and mal:union: of the fragment has occurred, it is quite possible to reconstruct the head. although results of the case...

There is no simple method available to identify patients who will develop recurrent instability after an arthroscopic Bankart procedure and who would be better served by an open operation. We carried out a prospective case-control study of 131 consecutive unselected patients with recurrent anterior shoulder instability who underwent this procedure using suture anchors. At follow-up after a mean...

PURPOSE The purpose of this study was to report on a difficult patient population and to critically evaluate the role of revision arthroscopic stabilization surgery. METHODS Eighteen patients with failed traumatic instability repairs were treated with revision arthroscopic labral fixation and plication with a mean follow-up of 29.7 months (range, 24 to 48 months). There were 15 male patients ...