2021 Annual Meeting Shoulder Access Pass-Bankart Repair in Adolescents: Clinical and Radiographic Predictors of Revision Surgery

Bankart Repair in Adolescents: Clinical and Radiographic Predictors of Revision Surgery

Video Transcription

Video Summary

This study evaluated outcomes of arthroscopic Bankart repair in adolescents with anterior shoulder instability, focusing on bone loss factors predicting failure. Among 59 patients (median age 16), 31% experienced recurrent instability or required revision. While off-track lesions were rare (8.5%) and not predictive of failure, larger Hill-Sachs defect measurements (interval and depth) were linked to higher revision rates. Patient-reported outcomes were worse in those with recurrent instability. The authors suggest considering additional procedures, like remplissage or glenoid augmentation, not only for off-track lesions but also for on-track lesions with significant Hill-Sachs defects, to reduce failure risk in adolescents.

Asset Caption

Dr. Crystal Perkins

Keywords

arthroscopic Bankart repair

adolescent anterior shoulder instability

Hill-Sachs defect

recurrent shoulder instability

shoulder surgery outcomes