Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique

Stein T, Buckup J, Efe T, von Eisenhart-Rothe R, Hoffmann R, Zimmermann E, Welsch F (2015)
Archives of Orthopaedic and Trauma Surgery 135(3): 369-382.

Journal Article | Published | English

No fulltext has been uploaded

Author
; ; ; ; ; ;
Abstract
Muscular recovery of structural integrity after arthroscopic Bankart repair using the para- and trans-musculotendinous three-portal technique has not been investigated. Twenty-seven athletes [mean age 26.9 years, (group 1; G1)] were prospectively and longitudinally monitored after arthroscopic Bankart repair using the three-portal technique by magnetic resonance imaging (MRI) and specific clinical muscular testing. The muscular integrity was assessed at the subscapularis (SSC) for the para-tendinous anteroinferior portal, the supraspinatus (SSP) for the trans-tendinous suprabicipital portal, and the infraspinatus (ISP) for the trans-tendinous posterior portal. Muscular atrophy was assessed by standardized ratios of transverse and vertical diameters for the SSC and ISP, as defined by cross-sectional area ratios for the SSP. Fatty infiltration was assessed by signal intensity analysis for the upper and lower SSC, SSP, and upper ISP as a ratio with the lower ISP. These parameters were analyzed for pre-operative (T0), 1-year (T1), and 2-year status (T2), and compared to 27 healthy volunteers [mean age 29.4 years, (group 2, G2)]. The structural integrity assessments were performed after 14.8 (T1) and 32.0 months (T2). The SSC analysis revealed no muscular impairments in the upper and lower portions between T0 and T2 or compared to G2. MRI analysis for SSP and ISP showed full muscular recovery without any changes between T0 and T2 or deficits compared to G2. The number of pre-operative dislocations had no influence on the muscular integrity. MR analysis detected signs of overuse syndrome in 15 % at T0, 41 % at T1, and 63 % at T2; 77, 22, and 26 % of patients at T0, T1, and T2, respectively, were symptomatic. Arthroscopic Bankart repair using the three-portal technique prevents full muscular integrity for para-tendinous anteroinferior portals at the SSC, the trans-tendinous suprabicipital portal through the SSP, and the trans-tendinous portal through the ISP.
Publishing Year
ISSN
PUB-ID

Cite this

Stein T, Buckup J, Efe T, et al. Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique. Archives of Orthopaedic and Trauma Surgery. 2015;135(3):369-382.
Stein, T., Buckup, J., Efe, T., von Eisenhart-Rothe, R., Hoffmann, R., Zimmermann, E., & Welsch, F. (2015). Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique. Archives of Orthopaedic and Trauma Surgery, 135(3), 369-382.
Stein, T., Buckup, J., Efe, T., von Eisenhart-Rothe, R., Hoffmann, R., Zimmermann, E., and Welsch, F. (2015). Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique. Archives of Orthopaedic and Trauma Surgery 135, 369-382.
Stein, T., et al., 2015. Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique. Archives of Orthopaedic and Trauma Surgery, 135(3), p 369-382.
T. Stein, et al., “Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique”, Archives of Orthopaedic and Trauma Surgery, vol. 135, 2015, pp. 369-382.
Stein, T., Buckup, J., Efe, T., von Eisenhart-Rothe, R., Hoffmann, R., Zimmermann, E., Welsch, F.: Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique. Archives of Orthopaedic and Trauma Surgery. 135, 369-382 (2015).
Stein, T., Buckup, J., Efe, T., von Eisenhart-Rothe, R., Hoffmann, R., Zimmermann, Elke, and Welsch, F. “Structural and clinical integrity of the rotator cuff in athletes after arthroscopic Bankart repair using the three-portal technique”. Archives of Orthopaedic and Trauma Surgery 135.3 (2015): 369-382.
This data publication is cited in the following publications:
This publication cites the following data publications:

63 References

Data provided by Europe PubMed Central.

Postoperative subscapularis muscle insufficiency after primary and revision open shoulder stabilization.
Scheibel M, Tsynman A, Magosch P, Schroeder RJ, Habermeyer P., Am J Sports Med 34(10), 2006
PMID: 16801689
[Magnetic resonance analysis of the subscapularis muscle after open anterior shoulder stabilization]
Schroder RJ, Scheibel M, Tsynman A, Magosch P, Habermeyer P., Rofo 178(7), 2006
PMID: 16810630
Posttraumatic anterior-inferior instability of the shoulder: arthroscopic findings and clinical correlations.
Spatschil A, Landsiedl F, Anderl W, Imhoff A, Seiler H, Vassilev I, Klein W, Boszotta H, Hoffmann F, Rupp S., Arch Orthop Trauma Surg 126(4), 2006
PMID: 16217670
Shoulder sport-specific impairments after arthroscopic Bankart repair: a prospective longitudinal assessment.
Stein T, Linke RD, Buckup J, Efe T, von Eisenhart-Rothe R, Hoffmann R, Jager A, Welsch F., Am J Sports Med 39(11), 2011
PMID: 21880949
MRI assessment of the structural labrum integrity after Bankart repair using knotless bio-anchors.
Stein T, Mehling AP, Reck C, Buckup J, Efe T, Hoffmann R, Jager A, Welsch F., Knee Surg Sports Traumatol Arthrosc 19(10), 2011
PMID: 21311867
Effects of rotator cuff ruptures on the cellular and intracellular composition of the human supraspinatus muscle.
Steinbacher P, Tauber M, Kogler S, Stoiber W, Resch H, Sanger AM., Tissue Cell 42(1), 2010
PMID: 19709709

DR, J Shoulder Elb Surg 21(10), 2012
Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology.
Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F., Acta Orthop Scand 67(3), 1996
PMID: 8686465
The 'dropping' and 'hornblower's' signs in evaluation of rotator-cuff tears.
Walch G, Boulahia A, Calderone S, Robinson AH., J Bone Joint Surg Br 80(4), 1998
PMID: 9699824

JJ, Clin Orthop Relat Res 330(), 1996
Magnetic resonance imaging appearance of a repaired capsulolabral complex after arthroscopic bankart repair.
Yoo JC, Lee YS, Tae SK, Park JH, Park JW, Ha HC., Am J Sports Med 36(12), 2008
PMID: 18776021

Export

0 Marked Publications

Open Data PUB

Web of Science

View record in Web of Science®

Sources

PMID: 25663019
PubMed | Europe PMC

Search this title in

Google Scholar