ARTHROSCOPIC STABILIZATION FOR RECURRENT ANTERIOR SHOULDER DISLOCATION - RESULTS OF 59 CASES

Fifty-nine patients with recurrent anterior dislocation of the shoulde r underwent the Morgan arthroscopic stabilization with transglenoidal suture of the inferior glenohumeral ligament. All patients were follow ed-up for an average of 49 months (range, 29 to 71 months). Using Rowe 's scoring system, the overall objective results were disappointing. T here were 33% excellent results, 9% good, 9% fair, and 49% poor. Twent y-six patients had a further dislocation, and 3 others had recurrent s ubluxation on average 13 months after the operation. The failures were associated with a preoperative clinical finding of inferior hyperlaxi ty as demonstrated by a positive sulcus sign, a preoperative radiologi cal finding of a bony lesion on the anterior edge of the glenoid, or a n arthroscopic finding of extended ligamentous lesions at the time of operation. The results of this study are clearly worse than those repo rted by other investigators. Direct comparison between the reported st udies is problematic and is discussed. It was concluded that arthrosco pic stabilization should only be performed by interested specialists a s part of controlled clinical trials.