2021 Annual Meeting Shoulder Access Pass-Minimum 2-Year Clinical Outcomes After Arthroscopic Treatment for Glenolabral Articular Disruption (GLAD) Lesions: A Matched Case-Control Study

Minimum 2-Year Clinical Outcomes After Arthroscopic Treatment for Glenolabral Articular Disruption (GLAD) Lesions: A Matched Case-Control Study

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Video Summary

This study compared outcomes of arthroscopic Bankart repair in patients with and without GLAD lesions, typically caused by shoulder injury. In a retrospective series of 27 matched pairs followed for 4.5 years, both groups showed significant improvement in patient-reported outcomes and high satisfaction with no significant differences in recurrent instability or revision surgery rates. GLAD lesion size and specific treatments like microfracture did not affect results. Contrary to some prior reports, GLAD lesions were not associated with worse outcomes or higher instability risk. Limitations include small sample size and MRI assessment variability, but findings support effective Bankart repair in GLAD patients.

Asset Caption

Bryant Elrick, MSc

Keywords

Arthroscopic Bankart repair

GLAD lesions

Shoulder instability

Patient-reported outcomes

Microfracture treatment