Arthroscopic repair of glenolabral articular disruption lesions yields improved outcomes
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NASHVILLE, Tenn. — Arthroscopic Bankart repair for patients with glenolabral articular disruption lesions resulted in improved outcomes and high patient satisfaction, according to a presenter.
“The purpose of our study was to compare the outcomes between patients with and without glenolabral articular disruption (GLAD) lesions after undergoing arthroscopic Bankart surgery,” Bryant P. Elrick, MD, MS, an orthopedics resident at the University of Colorado School of Medicine, said during his presentation at the American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting. “Additionally, this study evaluated potential risk factors for inferior outcomes in those with GLAD injury,” Elrick added.
Elrick and colleagues at the Steadman Philippon Research Institute analyzed two matched cohorts: 27 patients with GLAD lesions that underwent arthroscopic Bankart repair (ABR) and 27 patients without GLAD lesions that underwent ABR.
After a minimum 2-year follow-up, researchers found both cohorts “significantly improved” preoperatively to postoperatively in American Shoulder and Elbow Surgeons score, SF-12 physical component score, SANE score, DASH score and patient satisfaction. Additionally, Elrick noted similar revision and recurrent instability rates among both cohorts.
He concluded that a concomitant GLAD lesion may not predispose patients undergoing ABR to recurrent instability, and GLAD morphology and surgical technique had influence on patient-reported outcome measures.
“In conclusion, our findings support that ABR in patients with GLAD lesions results in significantly improved outcomes with high satisfaction, which is similar to those without GLAD lesions,” Elrick said.
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Elrick BP, et al. Minimum 2-year clinical outcomes after arthroscopic treatment for glenolabral articular disruption (GLAD) lesions: A matched case-control study. Presented at: American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting; July 7-11, 2021; Nashville, Tennessee.
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