[Initial management of traumatic ventral shoulder dislocation]

Surgical technique and clinical outcome of arthroscopic shoulder stabilization via suture anchors using the lasso-loop stitch

During arthroscopic Bankart-repair the lasso-loop-stitch can be used. The clinical outcome of this technical modification to a broadly used procedure is not known. We followed-up 24 patients treated with this technique over 30 months. We found an excellent clinical outcome in 96% of all cases. The average Rowe-score was 96.3 points. The mean QuickDash was 2.8 points. Using the lasso-loop-stitch in arthroscopic Bankart-repair is safe and results in very good clinical outcomes. It might lead to an accentuated labral bump and enables secure knot-tying with knot-positioning away from the articular cartilage while avoiding the suture cutting through the tissue.

[Paresis of the brachial plexus after anterior shoulder luxation : Traumatic damage or compression due to hematoma?]

After traumatic anterior shoulder dislocation and self-reduction, the patient initially showed an inconspicuous clinical course. At the time of presentation in the emergency room the upper limb neurological status was reported to be normal. After discharge, paresis of the brachial plexus of the left arm occurred within 8 h. A subsequently performed computed tomography (CT) scan revealed a hematoma close to the brachial plexus, which was treated by surgical decompression and resulted in symptom relief. This case report describes a rare but significant complication after anterior shoulder dislocation, which should not be underestimated in the setting of a surgical emergency admission.