A Meta-Analysis of CT as a Tool for Diagnosing and Treating Shoulder Joint Bankart Injuries

OBJECTIVE: The shoulder joint is the most flexible joint in the human body. It is a typical multiaxial ball-and-socket joint. The humeral head is approximately spherical, and the glenoid is small and shallow. This article mainly discusses the application value of computerized tomography (CT) in the early diagnosis of skeletal Bankart injury of the shoulder joint. METHODS: The chemical quality was evaluated according to the physical therapy evidence database PEDro scale. The literature quality evaluation scale and the NO scale are also used to evaluate the quality of each nonrandomized study. The standard quality scores of the literature quality evaluation scale are as follows: (1) the selection of the study group; (2) the comparability of the study group; and (3) (cohort study) clear interest results. Outcome measurement: Postoperative shoulder joint stability and range of motion (ROM) are the main results of Bankart injury patients undergoing open repair surgery and arthroscopic repair surgery. The secondary results of the survey included the Rowe score, the shoulder stability score, the American shoulder and elbow surgery score ASES, the University of California, Los Angeles, shoulder score UCLA, and the operation time. RESULTS: Four of the included studies are randomized controlled trials, and the other studies are cohort studies. After meta-analysis, a fixed-effect model (I(2) = 34%) was used to observe the difference in shoulder stability treatment between the two groups and was statistically significant (P = 0.008, RR = 0.94, 95% confidence interval: 0.89~0.98). The analysis results showed that compared with patients undergoing open surgery, patients' undergoing arthroscopic repair had better postoperative shoulder motion range (P < 0.001, SMD = 0.47, 95% confidence interval: -0.72~0.22), and there is no significant heterogeneity. CONCLUSION: The Bankart injury of the shoulder joint cannot be diagnosed by X-ray examination alone due to its anatomical location and the size of the fracture fragments. CT examination has a better auxiliary diagnostic effect in the early stage of skeletal Bankart injury.