Nasim.
Glenohumeral Ligaments repair in traumatic recurrent anterior dislocation of Shoulder Joint.
Pak Armed Forces Med J Jan ;49(1):24-8.

A retrospective study was performed on 21 young active patients who had past traumatic anterior glenohumeral instability. Ninety one percent had Hill-Sach lesion of the humeral head. `Bankart lesion` (avulsion of the capsule and labrum from anterior glenoid rim) was found in 9% cases. We have used direct repair of capsular ligament as recommended by Bankart or Rowe et al modification of Bankart procedure in our cases. This approach offers the opportunity for effective evaluation and management with emphasis on anatomical repair of the capsule. This result in minimal limitation of movement and avoids tendon transfer, bone transfer and use of hardware. This report describes the technique and results of our experience. The patients were followed up from minimum of six months to the maximum of six years. There had been no postoperative infection and neurovascular lesion. The average range of movement was 169 degrees of forward elevation, and average loss of external rotation was 16 degrees in 10 cases (76%), 21 degrees in 7 cases (33%) and 30 degrees in four cases (19%). There was no case of redislocation up to the time of latest follow up and 11 patients (52%) were able to return to same or slightly less demanding jobs. None of the soldiers was invalided out of military service.

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