ABSTRACT
Recurrent traumatic anterior shoulder instability following surgical repair may be associated with implant failure and an array of capsulolabral pathology including separation of the labrum (Bankart lesion), humeral avulsion of the glenohumeral ligaments (HAGL lesion), and capsular rupture. We detail a previously unreported case of a HAGL lesion occurring in a shoulder with an intact arthrosopic Bankart repair following an additional traumatic event. Anatomic repair of this subsequent injury resulted in an excellent outcome. The patient returned to his high-demand ski racing activities without any shoulder limitation.
Subject(s)
Shoulder Dislocation/surgery , Skiing/injuries , Adolescent , Arthroscopy , Humans , Male , Range of Motion, Articular , Recurrence , Reoperation , Shoulder Joint/physiopathology , Suture TechniquesABSTRACT
Obstetric brachial plexus palsy produces functional and cosmetic impairment. The Sever-L'Episcopo procedure has been successfully used to improve external rotation, primarily in younger patients. Previous studies have shown steady improvement in motion and function for 1 year from the date of surgery, with little additional change beyond this period. This is a retrospective study of 7 patients who have had the procedure at the Shriners Hospital for Children in Tampa, Florida. Functional and cosmetic results have been uniformly excellent at an average follow-up of 1 year 3 months. No complications have occurred. In addition, the degree of improvement seen in our relatively older patient population has not been previously detailed in the literature.
