Arthroscopic Coracoid Transposition for Recurrent Shoulder Anterior Instability. An Operative Technique

Rimtautas Gudas,Vytautas Streckis,Tomas Mickevičius,Albertas Skurvydas

doi:10.3390/medicina47020013

Abstract

We report a technique of an arthroscopic concomitant Bankart repair with a transfer of the coracoid bone block and conjoint tendons for revision anterior shoulder instability. The operative procedure consists of an arthroscopic transfer of the conjoined tendon with a coracoid and arthroscopic Bankart repair. First, a typical Bankart suture anchor procedure with two suture anchors was performed into the antero-inferior part of the glenoid rim. After, tenodesis of the coraco-biceps tendon was performed in the middle of the subscapularis tendon fixing the coracoid bony fragment into a glenoid socket with a bioabsorbable interference screw. This operative technique is an alternative in the treatment of revision anterior shoulder instability in patients with deficient anterior capsule.

Highlights

Numerous techniques of arthroscopic stabilization of the shoulder continue to be introduced and evolve (1–27)
This operative technique is an alternative in the treatment of revision anterior shoulder instability in patients with deficient anterior capsule
He was consulted in the Clinic of Orthopedics and Traumatology, Hospital of Lithuanian University of Health Sciences

Summary

CLINICAL CASE REPORT

Arthroscopic Coracoid Transposition for Recurrent Shoulder Anterior Instability. We report a technique of an arthroscopic concomitant Bankart repair with a transfer of the coracoid bone block and conjoint tendons for revision anterior shoulder instability. The operative procedure consists of an arthroscopic transfer of the conjoined tendon with a coracoid and arthroscopic Bankart repair. Tenodesis of the coraco-biceps tendon was performed in the middle of the subscapularis tendon fixing the coracoid bony fragment into a glenoid socket with a bioabsorbable interference screw. This operative technique is an alternative in the treatment of revision anterior shoulder instability in patients with deficient anterior capsule

Introduction

Discussion

Conclusion