{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:17:30Z","timestamp":1789514250323,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2009,6,27]],"date-time":"2009-06-27T00:00:00Z","timestamp":1246060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>It was hypothesized that an arthroscopic Bankart repair with suture anchors supplies sufficient anterior shoulder stability, which cannot be improved by an additional capsular shift. In an experimental biomechanical human cadaver study, we tested ten fresh human cadaver shoulders in a robot\u2010assisted shoulder simulator. External rotation and glenohumeral translation were measured at 0\u00b0 and 80\u00b0 of glenohumeral abduction. All measurements were performed under the following conditions: on the non\u2010operated shoulder; following the setting of three arthroscopic portals; following an arthroscopic anterior capsular shift; following a simulated Bankart lesion; and following an arthroscopic Bankart repair. The application of three arthroscopic portals resulted in a significant increase of the anterior (<jats:italic>P<\/jats:italic> = 0.01) and antero\u2010inferior translation (<jats:italic>P<\/jats:italic> = 0.03) at 0\u00b0 and 80\u00b0 abduction, as well as an increase in external rotation at 80\u00b0 abduction (<jats:italic>P<\/jats:italic> = 0.03). Capsular shift reduced external rotation (<jats:italic>P<\/jats:italic> = 0.03), but did not significantly decrease translation. Simulating anterior shoulder instability, glenohumeral translation significantly increased, ranging from 50 to 279% of physiological translation. Arthroscopic shoulder stabilization resulted in a decrease of translation in all tested directions to approximately physiologic levels. External rotation in 0\u00b0 abduction was thus decreased significantly (<jats:italic>P<\/jats:italic> = 0.003) to an average of 19\u00b0. The study proved that an arthroscopic anterior capsular shift in a cadaveric model decreases external rotation without a significant influence on glenohumeral translation. Arthroscopic shoulder stabilization with suture anchors thus sufficiently restores increased glenohumeral translation, but also decreases external rotation in neutral abduction. An anatomic reconstruction of the Bankart lesion without overconstraining of the antero\u2010inferior capsule should therefore be the aim in arthroscopic anterior shoulder stabilization.<\/jats:p>","DOI":"10.1007\/s00167-009-0843-8","type":"journal-article","created":{"date-parts":[[2009,6,26]],"date-time":"2009-06-26T05:53:37Z","timestamp":1245995617000},"page":"1493-1499","source":"Crossref","is-referenced-by-count":7,"title":["Biomechanical stability of an arthroscopic anterior capsular shift and suture anchor repair in anterior shoulder instability: a human cadaveric shoulder model"],"prefix":"10.1002","volume":"17","author":[{"given":"Michael","family":"Bohnsack","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery DIAKO Ev. Diakonie\u2010Krankenhaus Bremen Germany"},{"name":"Department of Orthopaedic and Trauma Surgery DIAKO Ev. Diakonie\u2010Krankenhaus Gr\u00f6pelinger Heerstr. 406\u2010408 28239 Bremen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Bartels","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery DIAKO Ev. Diakonie\u2010Krankenhaus Bremen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Ostermeier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"R\u00fchmann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery Agnes\u2010Karll\u2010Krankenhaus Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Wellmann","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Mansouri","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christof","family":"Hurschler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,6,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02974"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270031201"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505283259"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.03.001"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.109324"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290031601"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.01.021"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1007\/PL00003525","article-title":"Arthroscopic shoulder stabilization. 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