Arthroscopic Bankart Repair Reduces Instability in First Time Dislocators Aged 18-25
Forty patients aged age 18 to 25 years old with a first episode of anterior shoulder dislocation were randomized to receive arthroscopic Bankart repair (n=20) or nonoperative management (n=20). The primary outcome of interest was recurrence of instability at two year follow-up. Secondary outcomes of interest included range of motion, return to sport, Disabilities of the Arm, Shoulder and Hand (DASH) score, the Walch-Duplay score, and the Western Ontario Shoulder Instability Index (WOSI). At two year follow-up, recurrence of instability was significantly lower in the group undergoing arthroscopic Bankart repair. The Walch-Duplay score and WOSI scores were significantly better in the surgical group. Patients had a higher return to sport in the surgical group at two years follow-up. No surgical complications occurred in either group.