Recurrent Anterior Shoulder Dislocation Management; Arthroscopic Bankart Repair Versus Latarjet: Review Article

Abstract

Background: Collegiate athletes had a high incidence rate (0.12 per 1000 exposures) of anterior shoulder instability. While, many people  choose not to undergo surgery after their initial dislocation, it is common to experience considerable delays in returning to sports and  achieve lower functional outcomes. The Latarjet method, initially documented in 1954, includes transfer of coracoid procedure to glenoid margin.

Objectives: This study aimed to compare the outcomes of Latarjet procedure & Arthroscopic Bankart Repair in Recurrent Traumatic  Anterior Shoulder Instability.

Methods: We searched Science Direct, Google Scholar, and PubMed for Recurrent traumatic anterior shoulder instability, Latarjet  procedure and Bankart repair. The authors also reviewed references from pertinent literature, however only the most recent or  comprehensive studies from 2001 to 2024 were included. Documents in languages other than English were disqualified due to lack of  translation-related sources. Papers such as unpublished manuscripts, oral presentations, conference abstracts, and dissertations that  were not part of larger scientific studies were excluded.

Conclusion: The Bankart impact involves surgical repair of capsulolabral complex  to either stump or bone of coracoacromial ligament to capsule. Arthroscopic Bankart repair is presently the most often  employed method for addressing recurrent anterior shoulder instability. This method was developed in 1993 and its popularity is  increasing over decades. Studies showed similar clinical results in open & arthroscopic Bankart repair, thus, there is marked increase in usage of arthroscopic Bankart repair and even considered 1st line surgical management in anterior shoulder instability. Both methods  were comparable in terms of Rowe score, need for revision, & postoperative hematoma formation.