AANA Lab Course 1002 -3rd Annual Fellows/Chief Residents-What to Do with the “Bony Bankart”-Josef K. Eichinger, M.D.

What to Do with the “Bony Bankart”-Josef K. Eichinger, M.D.

Pdf Summary

The document references several studies and resources related to shoulder and elbow trauma, particularly focusing on glenoid and scapula fractures. Wyrick (2015) discusses these fractures in the context of shoulder injuries, appearing in the Woodhead Publishing Series in Biomaterials. Additional sources include Millet (2009) and Bonnevialle (2019), though specific details from these are not provided.<br /><br />A notable study by Godin (2019) reports on 13 patients treated for shoulder instability. Outcomes show restoration of shoulder stability, durable clinical improvements, and high return-to-sport rates with a minimum follow-up of five years.<br /><br />Patient outcome measures demonstrate significant improvement over time post-treatment. The Visual Analog Pain Scale drops sharply from 6.38 pre-treatment to near zero by three months and remains minimal through two years. The ASES (American Shoulder and Elbow Surgeons) shoulder function score increases from 19 initially to 30 by six months onward, while the ASES Shoulder Index Score rises from around 50 pre-treatment to nearly 100 at later follow-ups. The SANE (Single Assessment Numeric Evaluation) score improves from 41 pre-treatment to near 100 by six months and remains stable. VR-12 scores assessing physical and mental health also show positive trends, with physical scores rising from about 44 to 56 and mental scores from 49 to 63.<br /><br />Overall, the data support that treatment for shoulder trauma, particularly procedures restoring stability, results in substantial pain reduction, improvement in shoulder function, and enhanced quality of life sustained for at least two years post-treatment. The AAOS Orthopaedic Disclosure Program also appears as a resource for related disclosures, available on the AAOS website.

Keywords

shoulder trauma

elbow trauma

glenoid fractures

scapula fractures

shoulder instability

patient outcome measures

Visual Analog Pain Scale

ASES shoulder function score

SANE score

VR-12 physical and mental health scores