Arthroscopic Bankart repair for first time versus recurrent anterior shoulder instability in athletes- comparative Study

Abstract

Background: Following an initial traumatic anterior shoulder dislocation, the incidence of recurrent instability ranges from 14% to 100%. The risk of recurrent dislocations is influenced by the age at the time of initial dislocation. The aim of the present study was to evaluate the results of arthroscopic bankart repair of acute anterior shoulder dislocation for first time in athletes and comparison the results with delayed arthroscopic bankart repair  Patient and methods: The present study included 40 patients complaining of anterior shoulder dislocation, 20 patients of them were with first time anterior shoulder dislocation and 20 patients with recurrent dislocation.  All patients underwent Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability. The constant shoulder score was used for assess the outcomes  Results: There was statistically significant difference between pre and post-operative outcome in first time dislocation patients. There was statistically significant difference between pre and post-operative outcome in recurrent dislocation patients. There was no statistically significant difference according to post-operative outcomes between in first time and recurrent dislocation patients.  Conclusion: there were no differences in outcomes and constant shoulder score among patients undergoing surgery after the primary dislocation when compared with those undergoing surgery after recurrent shoulder dislocation.