The instability severity index score
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- 1 November 2007
- journal article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 89 (11), 1470-1477
- https://doi.org/10.1302/0301-620x.89b11.18962
Abstract
There is no simple method available to identify patients who will develop recurrent instability after an arthroscopic Bankart procedure and who would be better served by an open operation. We carried out a prospective case-control study of 131 consecutive unselected patients with recurrent anterior shoulder instability who underwent this procedure using suture anchors. At follow-up after a mean of 31.2 months (24 to 52) 19 (14.5%) had recurrent instability. The following risk factors were identified: patient age under 20 years at the time of surgery; involvement in competitive or contact sports or those involving forced overhead activity; shoulder hyperlaxity; a Hill-Sachs lesion present on an anteroposterior radiograph of the shoulder in external rotation and/or loss of the sclerotic inferior glenoid contour. These factors were integrated in a 10-point pre-operative instability severity index score and tested retrospectively on the same population. Patients with a score over 6 points had an unacceptable recurrence risk of 70% (p < 0.001). On this basis we believe that an arthroscopic Bankart repair is contraindicated in these patients, to whom we now suggest a Bristow-Latarjet procedure instead.Keywords
This publication has 25 references indexed in Scilit:
- Arthroscopic Treatment of Anterior Shoulder Instability Using Knotless Suture AnchorsArthroscopy: The Journal of Arthroscopic & Related Surgery, 2005
- Criteria for arthroscopic treatment of anterior instability of the shoulderThe Journal of Bone and Joint Surgery. British volume, 2005
- Arthroscopic Bankart Repair Using Suture Anchors in AthletesThe American Journal of Sports Medicine, 2004
- Two-year outcome of arthroscopic Bankart repair and electrothermal-assisted capsulorrhaphy for recurrent traumatic anterior shoulder instabilityArthroscopy: The Journal of Arthroscopic & Related Surgery, 2001
- The hyperabduction testThe Journal of Bone and Joint Surgery. British volume, 2001
- Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairsArthroscopy: The Journal of Arthroscopic & Related Surgery, 2000
- Arthroscopic bankart repair in a high demand patient populationArthroscopy: The Journal of Arthroscopic & Related Surgery, 1997
- Arthroscopic Shoulder Stabilization Using Transglenoid SuturesThe American Journal of Sports Medicine, 1996
- Arthroscopic stabilization for recurrent anterior shoulder dislocation: Results of 59 casesArthroscopy: The Journal of Arthroscopic & Related Surgery, 1995
- Arthroscopic staple capsulorrhaphy: A long-term follow-upArthroscopy: The Journal of Arthroscopic & Related Surgery, 1993