Arthroscopic Diagnosis And Treatment Of The Glenohumeral Instabilities

Abstract

Shoulder arthroscopy is a method that is used both for diagnosis and treatment of glenohumeral joint instabilities. Conventional radiography, ultrasound, arthrocomputer tomography, and especially magnetic resonance imaging, which provides valuable information in the diagnosis, can sometimes be insufficient and this gap is filled by arthroscopy. In the surgical treatment of disorders leading to instability, the operation time is shortened and intra- and postoperative complication rate is decreased with the use of surgical arthroscopy. We applied diagnostic and surgical arthroscopy to 41 patients. 18 patients had Bankart lesions, 7 had labral tears, 4 had SLAP lesions, 1 had rupture of the long head of the tendon of biceps muscle, 3 had synovitis, 2 had rotator cuff tears, 5 had laxity of the capsule. Arthroscopy of one case could not be completed because of anesthetic complication. 21 of these cases had surgical arthroscopy. The arthroscopic surgical procedures are 9 labral refreshing and synovial shaving, 8 labral excision, 3 refixation with SURETAC, 2 biopsies, 1 partial synovectomy, 1 loose body extirpation, and 1 acromioplasty.