Dynamic Kinematic Assessment with 3D Motion Analysis After Arthroscopic Bankart Repair: A Mid- to Long-Term Study Article Swipe
Pit Hetto
,
Raissa Liewald
,
David M. Spranz
,
Stefanos Tsitlakidis
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14228204
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14228204
Background/Objectives: The aim of the study is to first evaluate mid- to long-term changes in shoulder range of motion (ROM) and functional performance in activities of daily living (ADLs) after arthroscopic Bankart repair using three-dimensional (3D) motion analysis. Methods: We prospectively analyzed five patients (mean age: 31.8 years) pre- and postoperatively at 8.4 months and eight patients retrospectively at 12.1 years (mean age: 40.4 years). Fifteen asymptomatic adults served as controls. Shoulder kinematics were assessed using the Heidelberg Upper Extremity (HUX) model during maximum ROM and four ADL tasks (apron, neck, wash, and book). Results: At short-term follow-up, forward flexion improved by 31° (p < 0.05) and abduction improved by 70° (p < 0.05), while other movements showed non-significant trends toward improvement. Long-term follow-up demonstrated sustained or increased gains in flexion (+9°) and abduction (+7°) but significant declines in external rotation (−5°) and internal rotation (−30°). ADL analyses showed significant postoperative gains in abduction/adduction during “apron” (+6.7°) and “neck” (+49.8°) tasks. The long-term results remained comparable to or better than postoperative values in most planes, although external/internal rotation during the “wash” task decreased over time. Compared with normative controls, patients employed a larger ROM during some ADLs, suggesting compensatory mechanisms. Conclusions: Arthroscopic Bankart repair yields sustained mid- to long-term improvements in shoulder ROM and ADL performance. Rotational deficits persist despite maintained flexion and abduction in the long run, underscoring the need for targeted rehabilitation strategies.
Related Topics
Concepts
Medicine
Range of motion
Kinematics
External rotation
Rehabilitation
Asymptomatic
Physical medicine and rehabilitation
Internal rotation
Bankart lesion
Bankart repair
Activities of daily living
Physical therapy
Motion analysis
Shoulder joint
Arthroscopy
Surgery
Upper limb
Motion (physics)
Task (project management)
Prospective cohort study
Biomechanics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm14228204
- OA Status
- gold
- References
- 47
- OpenAlex ID
- https://openalex.org/W7106055947
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W7106055947Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm14228204Digital Object Identifier
- Title
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Dynamic Kinematic Assessment with 3D Motion Analysis After Arthroscopic Bankart Repair: A Mid- to Long-Term StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-11-19Full publication date if available
- Authors
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Pit Hetto, Raissa Liewald, David M. Spranz, Stefanos TsitlakidisList of authors in order
- Landing page
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https://doi.org/10.3390/jcm14228204Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3390/jcm14228204Direct OA link when available
- Concepts
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Medicine, Range of motion, Kinematics, External rotation, Rehabilitation, Asymptomatic, Physical medicine and rehabilitation, Internal rotation, Bankart lesion, Bankart repair, Activities of daily living, Physical therapy, Motion analysis, Shoulder joint, Arthroscopy, Surgery, Upper limb, Motion (physics), Task (project management), Prospective cohort study, BiomechanicsTop concepts (fields/topics) attached by OpenAlex
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