Journal article
In Vitro Evaluation of Shoulder External Rotation After a Bankart Reconstruction
The American journal of sports medicine, Vol.25(4), pp.449-453
07/1997
DOI: 10.1177/036354659702500406
PMID: 9240977
Abstract
The Bankart procedure is a commonly performed an terior shoulder reconstruction that may shorten the anterior capsule. In this study, biomechanical testing was performed to evaluate the effect of the classic Bankart reconstruction on external rotation of the shoulder. The procedure was performed on six fresh- frozen cadaveric specimens that were free of intraar ticular pathologic changes. With the arm in 0° of ab duction, resisting torques about the vertical axis were measured while the humerus was externally rotated. The intact specimens demonstrated a nonlinear load displacement behavior in which little resisting torque was measured until a moderate amount of external rotation was applied. Shortening the capsule by 2 mm resulted in a 40% decrease in the low-tension zone of external rotation, and shortening the capsule an addi tional 5 mm resulted in a 67% decrease in the low- tension zone. This study demonstrates that the normal shoulder capsule is quite sensitive to anterior capsular shortening and suggests that care must be exercised when performing a Bankart reconstruction to avoid overtightening this structure.
Details
- Title: Subtitle
- In Vitro Evaluation of Shoulder External Rotation After a Bankart Reconstruction
- Creators
- Kevin P Black - Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WisconsinTae-Hong Lim - Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WisconsinLinda M McGrady - Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WisconsinWilliam Raasch - Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin
- Resource Type
- Journal article
- Publication Details
- The American journal of sports medicine, Vol.25(4), pp.449-453
- DOI
- 10.1177/036354659702500406
- PMID
- 9240977
- ISSN
- 0363-5465
- eISSN
- 1552-3365
- Language
- English
- Date published
- 07/1997
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering
- Record Identifier
- 9984064571802771
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