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  • RSU is advertising for shoulder fellowship to start in August-September 2019 and begining of 2020
    a post-CCT shoulder fellowship for Two years. please send CV to Prof. Levy's PA Charlotte Bourne and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • For Patients, GPs & Physiotherapies - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • Excellent clinical results over more than 13 years with the Verso rTSA.
    Very high patient satisfaction and return to full activities including sports. [Read more]
  • The least complications with the Verso shoulder compared with other reverse shoulder systems
    From the Royal National Orthopaedic Hospital, Birmingham, UK
    S. Robati, M.K. Shahid, J. Allport, A. Ray and G. Sforza
    Bone & Joint Journal 2013, Vol. 95-B Supp. 25-27

    Complication Rates From Three Commonly Used Reverse Polarity Total Shoulder Replacements: A Minimum Two Year Follow-Up Of 64 Cases
     
  • Excellent results with the Verso TSA were published in Italy! 
    A group of oorthopaedic surgeons from northern Italy from Piacenza and Verona published their first few years experience with the stemless reverse TSA - The VERSO. 
    They present Excellent clinical and radiologic results that mirror the results of the designing centre!
    (Read more) [Read more]
  • Applications for the Reading shoulder fellowship
    starting in late 2019 and for 2020
    is now open.
    Please apply by visiting the Unit and sending your CV to Jan Barker
    Visits to the Reading shoulder unit are welcome - Please liaise with Prof. Levy's PA Charlotte Bourne
    [Read more]
  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in idorth.com - Innovative Design Orthopaedics - [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

Shoulder Instability

Purse-String Suture Technique for Arthroscopic Shoulder Stabilization

 

Open reconstruction of the Bankart lesion is the standard form of treatment for patients with traumatic anterior instability.The results of preventing recurrent dislocation have been satisfactory, although loss of motion has been reported as a disadvantage of the technique.Advances in technology and technique in arthroscopic shoulder stabilization have made it increasingly accepted as an alternative.  Advantages include less surgical morbidity, excellent assessment of intra-articular pathology, decreased pain, improved range of motion, and better cosmesis.

An increased understanding of the anatomy of shoulder stability has improved patient selection, and the results of arthroscopic treatment in appropriately selected patients approach the results of open techniques. Most arthroscopic techniques are based on careful assessment of the pathoanatomy, meticulous mobilization of the capsuloligamentous structures and restoration of the labral ''bumper'' using multiple suture anchors.

We have described a new arthroscopic technique, the ''Purse-String technique,^ which addresses the Bankart lesion and the capsule laxity, using a single suture anchor. This technique has been adapted arthroscopically from an open technique described by Copeland and Levy. A single suture anchor in the arthroscopic technique replaces (Fig. 1) the vertical apical suture used in the open technique

The repair is 3-fold: firstly, a labral repair; secondly, the creation of an anterior bumper; and finally, a capsular shift

    

    Fig 1 - Diagram of the Purse string technique

    

    Video of Purse String repair technique - insert




Current controversies in Shoulder Instabilty:

    Arthroscopic versus open stabilisation
    The role of surgery in the first time dislocator PDF PRESENTATION