Adhavan Karthick, Rosario P M Mervin, Akilan T P Muthu
Department of Orthopaedics, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.
J Orthop Case Rep. 2025 Jul;15(7):121-126. doi: 10.13107/jocr.2025.v15.i07.5792.
Recurrent anterior shoulder dislocation is a common sequela of traumatic shoulder injury in young adults, particularly athletes. Delayed treatment often leads to complex pathoanatomy, including Bankart and Hill-Sachs lesions. The combination of arthroscopic Bankart repair and remplissage has become a reliable solution in selected patients.
We present the case of a 36-year-old male with a 14-year history of recurrent anterior shoulder dislocations, initially sustained during sports activity. Despite frequent episodes, all were self-managed without medical attention. Radiological evaluation revealed a Bankart lesion, on-track Hill-Sachs defect, and minimal glenoid bone loss. The patient underwent arthroscopic Bankart repair with remplissage. Post-operative recovery was uneventful, with satisfactory stabilization.
This case highlights the importance of comprehensive clinical and radiological assessment in chronic shoulder instability. Arthroscopic intervention combining Bankart repair and remplissage offers effective management in patients with minimal bone loss and non-engaging Hill-Sachs lesions.
复发性肩关节前脱位是年轻成年人，尤其是运动员肩部创伤后的常见后遗症。治疗延迟往往会导致复杂的病理解剖结构，包括Bankart损伤和Hill-Sachs损伤。关节镜下Bankart修复术和关节盂填充术相结合已成为部分患者可靠的治疗方案。
我们报告一例36岁男性患者，有14年复发性肩关节前脱位病史，最初在体育活动中受伤。尽管脱位频繁发作，但均自行处理，未就医。影像学评估显示存在Bankart损伤、对位良好的Hill-Sachs缺损以及轻微的关节盂骨质流失。该患者接受了关节镜下Bankart修复术并进行了关节盂填充。术后恢复顺利，肩关节稳定效果良好。
本病例强调了对慢性肩关节不稳定进行全面临床和影像学评估的重要性。对于骨质流失少且Hill-Sachs损伤未导致关节嵌顿的患者，关节镜下联合Bankart修复术和关节盂填充术可提供有效的治疗。
