Traumatic antero-inferior instability of the shoulder: Bankart's procedure in nonprofessional athletes

• Autor(es):

  Vasconcelos, Ubiratan Maia Rodrigues (FUNFARME. FAMERP. Serviço de Ortopedia e Traumatologia);

  Leonardi, Adriano Barros de Aguiar (FUNFARME. FAMERP. Serviço de Ortopedia e Traumatologia);

  Reis, André Luiz (FUNFARME. FAMERP. Serviço de Ortopedia e Traumatologia);

  Carvalho Filho, Guaracy (FUNFARME. FAMERP. Serviço de Ortopedia e Traumatologia);

  Chueire, Alceu Gomes (FUNFARME. FAMERP. Serviço de Ortopedia e Traumatologia).

• Fonte:

  Acta Ortopédica Brasileira; volume 11, número 3, páginas 150-157. Agosto 2003.

• Assuntos:

  Shoulder joint;

  Surgery;

  Bankart technique.

• Resumo:

  Between February 1999 and March 2002, twenty-one non-professional nonprofessional athletes (21 shoulders, mean age of 26.63 years) with traumatic antero-inferior instability were evaluated. All of them underwent surgical treatment using the Bankart technique with anchors. The capsuloligament retensioning was performed after the sulcus sign was detected during physical examination or during the surgical act. According to the criteria by Rowe et al(20), fifteen excellent results were obtained, three good, two regular, and one poor result. In the postoperative period, the mean internal rotation, using the vertebral level as a parameter, was T12. The external rotation was 27.19 degrees and the mean abduction was 166.90 degrees; the sulcus test was positive in one patient (4.76%), while recurrence occurred in two patients (9.52%). Sixteen athletes returned to their sports activities (76.19%). The main factors related to the abandonment and partial rehabilitation were the fear of residual pain recurrence, and instability.

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