Arthroscopy for shoulder instability and a technique for arthroscopic repair

At this time the principal role of the arthroscope in the management of dislocating shoulder seems to be the identification of the intra-articular pathology. The findings should enable a surgeon to carry out an appropriate open repair, and the results of such surgery are excellent. Is there a place...

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Bibliographic Details
Published inArthroscopy Vol. 4; no. 1; p. 25
Main Author Wiley, A M
Format Journal Article
LanguageEnglish
Published United States 1988
Subjects
Adult
Aged
Arthroscopy - methods
Female
Follow-Up Studies
Humans
Joint Dislocations - surgery
Joint Instability - surgery
Male
Shoulder Joint - surgery
Surgical Instruments
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Summary:At this time the principal role of the arthroscope in the management of dislocating shoulder seems to be the identification of the intra-articular pathology. The findings should enable a surgeon to carry out an appropriate open repair, and the results of such surgery are excellent. Is there a place for arthroscopic repair? Some patients sometimes request it; others have had a failed open repair, or wish to avoid a scar. The author has devised a removable "Rivet," which fixes a loose labrum and the inferior glenohumeral ligament back on to a roughened glenoid margin. Use of this technique avoids some of the hazards that occur with implanting a staple or similar device in the joint. The "Rivet" is removed after 4-6 weeks. Ten patients have been so treated, with a follow-up of 6 months to 2 years. There was one failure, with a return of dislocation.
ISSN:0749-8063
DOI:10.1016/S0749-8063(88)80007-0