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ALPSA Lesion or Bankart does it Really Matter in Shoulder Instability? A Review of Literature with Surgical Technique for ALPSA Repair

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  January-June 2021 | page: 14-18 | Timothy Weiwen Teo, Andy Teck Huat Wee


Author: Timothy Weiwen Teo [1], Andy Teck Huat Wee [1]

[1] Consultant Orthopaedic Surgeon Khoo Teck Puat Hospital

[2] Consultant Orthopaedic Surgeon Pinnacle Orthopaedic Group

Address of Correspondence
Dr. Timothy Weiwen Teo,
Consultant Orthopaedic Surgeon Khoo Teck Puat Hospital
E-mail: timothyteo.ww@gmail.com


Abstract

The anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion has been described as a distinct pathology from the classic Bankart lesion in anterior glenohumeral instability. ALPSA lesions are associated with younger patients, patients with more chronic symptoms, more episodes of pre-operative instability and associated with increased humeral and glenoid bone loss as compared to Bankart lesions. After surgery, ALPSA lesions also have a higher risk of redislocations and greater loss of range of motion. In this article, we outline some surgical pearls in dealing with ALPSA lesions.

Keywords: Anterior labroligamentous periosteal sleeve avulsion, bankart, traumatic anterior shoulder instability, labrum


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How to Cite this article: Teo TW,  Wee ATH. ALPSA Lesion or Bankart does it Really Matter in Shoulder Instability? A Review of Literature with Surgical Technique for ALPSA Repair. Journal of Clinical Orthopaedics Jan-Jun 2020;6(1): 14-18.

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