Patients with recurrent shoulder instability after arthroscopic stabilization
1. Patients with recurrent shoulderPatients with recurrent shoulder
instability after arthroscopicinstability after arthroscopic
stabilizationstabilization
2. Moutafis CharalamposMoutafis Charalampos
• Age 19yrsAge 19yrs
• Athletics: football player 10h/wAthletics: football player 10h/w
• First dislocation at 19y, 2 dislocations pre-opFirst dislocation at 19y, 2 dislocations pre-op
• Bankart and Hillsachs lesionsBankart and Hillsachs lesions
• 2 GII anchors loaded with 2 sutures + RI closure2 GII anchors loaded with 2 sutures + RI closure
(PDS suture)(PDS suture)
• Normal RehabilitationNormal Rehabilitation
• Subluxation 11m post op after trauma in footballSubluxation 11m post op after trauma in football
match – conservative treatmentmatch – conservative treatment
• No apprehension 3 years afterNo apprehension 3 years after
3. Argyrou CharitosArgyrou Charitos
• Age 23 yrsAge 23 yrs
• Athletics: football 4h/wAthletics: football 4h/w
• 11stst
dislocation at 21y, 2dislocations + 2dislocation at 21y, 2dislocations + 2
subluxations preopsubluxations preop
• Bankart – Hillsachs – SlapII lesionsBankart – Hillsachs – SlapII lesions
• 3 panalok loaded with 1 suture + 2 panalok for3 panalok loaded with 1 suture + 2 panalok for
the Slap lesionthe Slap lesion
• Poor rehabilitationPoor rehabilitation
• Recurrence 16m post-op after low energyRecurrence 16m post-op after low energy
traumatrauma
• Second look arthroscopy 3y postop revealedSecond look arthroscopy 3y postop revealed
bony bankart, hillsachs healed slap lesionbony bankart, hillsachs healed slap lesion
4. Paouris StamatiosPaouris Stamatios
• Age 31yrsAge 31yrs
• Athletics: Martial Arts 15h/wAthletics: Martial Arts 15h/w
• 11stst
dislocation at 20yrs, 20 dislocations pre-opdislocation at 20yrs, 20 dislocations pre-op
• Large Hillsachs lesion – extensive Bankart lesionLarge Hillsachs lesion – extensive Bankart lesion
with small bony defectwith small bony defect
• 2 anchors biofastak double sutures one anchor2 anchors biofastak double sutures one anchor
panalok simple non absorbable suture + RIpanalok simple non absorbable suture + RI
closure (PDS)closure (PDS)
• Recurrence 11m post-op during a Kick – BoxingRecurrence 11m post-op during a Kick – Boxing
matchmatch
5. Christodoulou MichailChristodoulou Michail
• Age 34yrsAge 34yrs
• Athletics: Climbing, Extreme SportsAthletics: Climbing, Extreme Sports
• 11stst
dislocation at 34y, 4 subluxationsdislocation at 34y, 4 subluxations
• Bankart – Hillsachs – SlapII lesionsBankart – Hillsachs – SlapII lesions
• 3 panalok loaded with 1 suture + 1 panalok for3 panalok loaded with 1 suture + 1 panalok for
the Slap lesionthe Slap lesion
• Recurrence 23m post-op after violent traumaRecurrence 23m post-op after violent trauma
during snowboardduring snowboard
• Second look: Bankart with small bony defect,Second look: Bankart with small bony defect,
slap, hillsachs lesion.slap, hillsachs lesion.
6. Ispyropoulos SocratesIspyropoulos Socrates
• Age 22yrsAge 22yrs
• Athletics:Athletics: Hokey on GrassHokey on Grass
• 11stst
dislocation at 16y, 20 pre-opdislocation at 16y, 20 pre-op
• Capsular subluxationCapsular subluxation
• 1 fastak – 4 panalok anchors loaded with 1 suture1 fastak – 4 panalok anchors loaded with 1 suture
• Poor rehabilitationPoor rehabilitation
• Recurrence 10m post-op after low energy traumaRecurrence 10m post-op after low energy trauma
• Second look revealed inverted pear lesion, hillsachs andSecond look revealed inverted pear lesion, hillsachs and
capsular sprain.capsular sprain.
• 4 years after second look arthroscopy no apprehension,4 years after second look arthroscopy no apprehension,
full range of motion and activity.full range of motion and activity.
7. Apostolou TheodorosApostolou Theodoros
• Age 25yrsAge 25yrs
• Athletics: Varius activities 4h/wAthletics: Varius activities 4h/w
• 11stst
dislocation at 22yrs, 5 dislocations pre-dislocation at 22yrs, 5 dislocations pre-
opop
• Bankart – Hillsachs lesionsBankart – Hillsachs lesions
• 3 panalok anchors loaded with 1 suture3 panalok anchors loaded with 1 suture
• 16m post op subluxation after trauma16m post op subluxation after trauma
8. Korakis KonstantinosKorakis Konstantinos
• Age 20yrsAge 20yrs
• Athletics noneAthletics none
• 11stst
dislocation at 18y, 6 dislocations pre-opdislocation at 18y, 6 dislocations pre-op
• Bankart – large Hillsachs lesionBankart – large Hillsachs lesion
• 3 panalok anchors loaded with 1 PDS3 panalok anchors loaded with 1 PDS
• Normal RehabilitationNormal Rehabilitation
• Subluxation 17m post-opSubluxation 17m post-op
9. Liarodimou IoannaLiarodimou Ioanna
• Age 30yrsAge 30yrs
• Athletics noneAthletics none
• 11stst
dislocation at 26y, 6 dislocations pre-opdislocation at 26y, 6 dislocations pre-op
• ALPSA lesionALPSA lesion
• 3 panalok anchors loaded with 1 PDS3 panalok anchors loaded with 1 PDS
• Excellent rehabilitationExcellent rehabilitation
• Recurrence 6yrs post-op after MVARecurrence 6yrs post-op after MVA
10. Arhontis VasiliosArhontis Vasilios
• 17yrs17yrs
• Athletics noneAthletics none
• 11stst
dislocation at 16y, 3 dislocations pre-opdislocation at 16y, 3 dislocations pre-op
• Bankart, extensive Hillsachs, meniscoid labrumBankart, extensive Hillsachs, meniscoid labrum
• 4 panalok anchors loaded with 1 suture + RI4 panalok anchors loaded with 1 suture + RI
closure (1PDS)closure (1PDS)
• Recurrence 34m post-op after violent fallRecurrence 34m post-op after violent fall
• Conservative treatment. Still has + aprehensionConservative treatment. Still has + aprehension
11. Kakampouras AggelosKakampouras Aggelos
• Age 21yrsAge 21yrs
• Athletics football 4h/wAthletics football 4h/w
• 11stst
dislocation at 17y, 4 dislocations pre-opdislocation at 17y, 4 dislocations pre-op
• Bankart, Hillsachs lesionsBankart, Hillsachs lesions
• 1 fastak + 3 panalok anchors loaded with1 fastak + 3 panalok anchors loaded with
1 suture1 suture
• Recurrence 48m post-op after MVARecurrence 48m post-op after MVA
• Second look arthroscopy revealed ALPSASecond look arthroscopy revealed ALPSA
lesion and hillsachs.lesion and hillsachs.
12. Galasis DimitriosGalasis Dimitrios
• Age 23yrsAge 23yrs
• Athletics Varius activitiesAthletics Varius activities
• Recurrence of open shoulder instabilityRecurrence of open shoulder instability
repairrepair
• 11stst
dislocation at 13y, 3 dislocations beforedislocation at 13y, 3 dislocations before
11stst
surgerysurgery
• Bankart, Hillsachs, SlapIIIBankart, Hillsachs, SlapIII
• 4 panalok anchors loaded with 1 suture4 panalok anchors loaded with 1 suture
• Recurrence 31m post-op after traumaRecurrence 31m post-op after trauma
13. Dimitriadis GeorgeDimitriadis George
• Age 18yrsAge 18yrs
• 11stst
dislocationdislocation
• Bankart LesionBankart Lesion
• 4 panalok anchors loaded with 1 suture4 panalok anchors loaded with 1 suture
• Poor rehabilitationPoor rehabilitation
• Reccurence 12m post-op while swimmingReccurence 12m post-op while swimming
• Over 5 dislocations after surgeryOver 5 dislocations after surgery
• No dislocation the past 2 yearsNo dislocation the past 2 years
14. Vamvas AnastasiosVamvas Anastasios
• Age 20yrsAge 20yrs
• Recurrence 24m post op after weightRecurrence 24m post op after weight
liftinglifting
• 10 dislocations after surgery10 dislocations after surgery
• Never appeared for post-op examinationNever appeared for post-op examination