Cover Page

Cite item


Injuries of the bone anterior edge of the glenoid cavity of scapula is noted in 90% of patients with recurrent shoulder instability and it is the cause of recurrent dislocation in 67% of cases. The authors have presented a description of techniques and benefits of arthroscopic autoplasty (autografting) of scapula glenoid. A total of 10 operations were performed in 9 men and 1 woman. The average age of operated patients was 27,1±4,7 years. All patients were injured during contact sports. In the preoperative and immediate postoperative period computer tomography of damaged shoulder was performed in all patients with reconstruction in 3D images. The size of the bone defect was evaluated by 3D scans and averaged 29.7%. During the first stage free bicortical grafts with varying sizes from the wing of the ilium were harvested. Preartroscopic stage permits to avoid swelling of paraarticular structures during arthroscopy and allows to correct positioning and fixation autografts in the joint. The arthroscopic signs of defect and the technique of immersing of previously prepared free fragment through a wide 10 mm cannula and subsequent minimally invasive fixation with cannulated screws in scapula neck were described. This operation is an alternative to the transposition of coracoid process, does not require special tools and a long operating time (average 60-80 min), excludes injuries of brachial plexus branches and surgical trauma of subscapularis muscle, does not disturb the normal anatomy of the shoulder joint. There were no neurological complications, recurrences of instability in the immediate postoperative period.

About the authors

S. Y. Dokolin

The Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Russian Federation

M. A. Kislitsyn

The Vreden Russian Research Institute of Traumatology and Orthopedics

Russian Federation

I. S. Bazarov

Military Medical Academy, St.-Petersburg

Russian Federation


  1. AANA advanced arthroscopy. The shoulder. Angelo R.L., Esch J., Ryu R.K.N., red. Arthroscopy Association of North America. 1st ed. Philadelphia, PA : Saunders/ Elsevier, 2010. 320 p.
  2. Boileau P., Villalba M., Héry J.Y., Balg F., Ahrens P., Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg. Am. 2006;88(8):1755-1763.
  3. Burkhart S.S., Danaceau S.M. Articular arc length mismatch as a cause of failed Bankart repair. Arthroscopy. 2000;16(7):740-744.
  4. Caspari R.B., Caspari R.B., Savoie F.H. Arthroscopic reconstruction of the shoulder: The Bankart repair. In: Operative arthroscopy. N.Y.: Raven; 1991. p. 507-515.
  5. Gartsman G.M., Roddey T.S., Hammerman S.M. Arthroscopic treatment of anterior-inferior glenohumeral instability. Two to five-year follow-up. J. Bone Joint Surg. Am. 2000;82(7):991-1003.
  6. Green M.R., Christensen K.P. Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy. 1993;9(4):371-374.
  7. Hovelius L., Thorling J., Fredin H. Recurrent anterior dislocation of the shoulder. Results after the Bankart and Putti-Platt operations. J. Bone Joint Surg. Am. 1979;61(4):566-569.
  8. Kim S.H., Ha K.I., Cho Y.B., Ryu B.D., Oh I. Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J. Bone Joint Surg. Am. 2003;85(8):1511-1518.
  9. Lafosse L., Boyle S. Arthroscopic latarjet procedure. J Shoulder Elbow Surg. 2010;19(2 Suppl.):2-12.
  10. McIntyre L.F., Caspari R.B., Savoie F.H. 3rd. The arthroscopic treatment of multidirectional shoulder instability: two-year results of a multiple suture technique. Arthroscopy. 1997;13(4):418-425.
  11. Pagnani M.J., Dome D.C. Surgical treatment of traumatic anterior shoulder instability in american football players. J. Bone Joint Surg. Am. 2002;84(5):711-715.
  12. Rowe C.R., Patel D., Southmayd W.W. The Bankart procedure: a long-term end-result study. J. Bone Joint Surg. Am. 1978;60(1):1-16.
  13. Savoie F.H. 3rd, Miller C.D., Field L.D. Arthroscopic reconstruction of traumatic anterior instability of the shoulder: the Caspari technique. Arthroscopy. 1997;13(2):201-209.
  14. Schippinger G., Vasiu P.S., Fankhauser F., Clement H.G. HAGL lesion occurring after successful arthroscopic Bankart repair. Arthroscopy. 2001;17(2):206-208.
  15. Snyder S.J. Diagnostic arthroscopy of the shoulder. Normal anatomy and variations. In: Shoulder arthroscopy. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 22-38.
  16. Snyder S.J., Banas M.P., Belzer J.P. Arthroscopic treatment of anterior shoulder instability using threaded suture anchors and nonabsorbable suture. Instr. Course Lect. 1996;45:71-81.
  17. Sugaya H., Moriishi J., Dohi M., Kon Y., Tsuchiya A. Glenoid rim morphology in recurrent anterior glenohumeral instability. J. Bone Joint Surg. Am. 2003;85(5):878-884.

Copyright (c)

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies