The purpose of this study was to determine the effect of sectioning of
the anterior part of the inferior glenohumeral ligament (a simulated
Bankart lesion) on load-induced multidirectional glenohumeral motion. Nine
fresh, intact cadaveric shoulders were tested on a special apparatus that
constrained three rotations but allowed simultaneous measurement of
anterior-posterior, superior-inferior, and medial-lateral translation.
Coupled anterior-posterior and superior-posterior translations were
recorded while anterior, posterior, superior, and inferior forces of fifty
newtons were applied sequentially. Testing was done in three positions of
humeral elevation in the scapular plane, in three positions of humeral
rotation, and with an externally applied joint-compression load of
twenty-two newtons. A liquid-metal strain-gauge was placed on the posterior
band of the inferior glenohumeral ligament to assess concomitant posterior
capsular strain during the various test conditions. All shoulders were
tested intact and again after the inferior glenohumeral ligament and the
labrum had been detached from the glenoid from just superior to the
anterior band of the inferior glenohumeral ligament to a point just
posterior to the infraglenoid tubercle. The simulated Bankart lesion
resulted in selected increases in anterior translation at all positions of
elevation, in posterior translation at 90 degrees of elevation, and in
inferior translation at all positions of elevation. However, these
increases were very small; the maximum mean increase in translation seen
over-all was only 3.4 millimeters, which occurred during inferior
translation at 45 degrees of elevation.(ABSTRACT TRUNCATED AT 250
WORDS)