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Patients with recurrent shoulder instability after arthroscopic stabilization

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Patients with recurrent shoulder instability after arthroscopic stabilization

  1. 1. Patients with recurrent shoulderPatients with recurrent shoulder instability after arthroscopicinstability after arthroscopic stabilizationstabilization
  2. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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

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