Al Hulaibi FH, AlBassam AY, AlGhamdi OS, Alahmari AS, Altwejry AY, Almatrouk JM, Alzaid ZA. Dual arthroscopic approach for simultaneous Bankart lesion repair and acromioclavicular joint stabilization: A case report. World J Orthop 2026; 17(8): 122866 [DOI: 10.5312/wjo.122866]
Corresponding Author of This Article
Abdulrahman Y AlBassam, FRCS, Consultant, Department of Orthopedic Surgery, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Bader Street, Khobar 31952, Eastern Province, Saudi Arabia. ayalbassam.md@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
case-report
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Aug 18, 2026; 17(8): 122866 Published online Aug 18, 2026. doi: 10.5312/wjo.122866
Dual arthroscopic approach for simultaneous Bankart lesion repair and acromioclavicular joint stabilization: A case report
Fahad H Al Hulaibi, Abdulrahman Y AlBassam, Omar S AlGhamdi, Abdulrahman S Alahmari, Ahmed Y Altwejry, Jumana M Almatrouk, Zaid A Alzaid
Fahad H Al Hulaibi, Ahmed Y Altwejry, Jumana M Almatrouk, Department of Orthopedic Surgery, Dammam Medical Complex, Dammam 32411, Eastern Province, Saudi Arabia
Abdulrahman Y AlBassam, Zaid A Alzaid, Department of Orthopedic Surgery, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Khobar 31952, Eastern Province, Saudi Arabia
Omar S AlGhamdi, Abdulrahman S Alahmari, College of Medicine, King Faisal University, Al Mubarraz 31952, Ash Sharqīyah, Saudi Arabia
Author contributions: Al Hulaibi FH performed the surgery; Al Hulaibi FH, AlBassam AY, AlGhamdi OS, Alahmari AS, Altwejry AY, Almatrouk JM, and Alzaid ZA contributed to the helped in developing and refinement of the surgical technique, participated equally in data collection and analysis, conducted the review of the litrature, and contributed to the preparation of the maniuscript, were involved in the interpretation of findings, critically revised the manuscript for important intellectual content, and all authors thoroughly reviewed and endorsed the final manuscript.
AI contribution statement: There was no artificial intelligence tools were used in the preparation of this manuscript. The authors are solely responsible for all content and conclusions presented here.
Informed consent statement: Written informed consent was taken from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review and will attach it as a supplementary file.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Abdulrahman Y AlBassam, FRCS, Consultant, Department of Orthopedic Surgery, Imam Abdulrahman Bin Faisal University, King Fahd Hospital of the University, Bader Street, Khobar 31952, Eastern Province, Saudi Arabia. ayalbassam.md@gmail.com
Received: May 8, 2026 Revised: June 17, 2026 Accepted: July 20, 2026 Published online: August 18, 2026 Processing time: 98 Days and 12.8 Hours
Abstract
BACKGROUND
Associated shoulder injuries, such as acromioclavicular (AC) dislocation and Bankart lesions, are complex and challenging to treat, particularly when accompanied by a chronic Hill-Sachs lesion. Each injury can independently compromise shoulder function and stability, and their coexistence further increases treatment complexity. This case report describes the arthroscopic treatment of a 32-year-old military serviceman with a soft tissue Bankart lesion, Hill-Sachs lesion, and Rockwood type IIIA AC joint dislocation.
CASE SUMMARY
The patient presented with a nine-year history of recurrent anterior shoulder dislocation after a motor vehicle accident that resulted in glenohumeral instability with a Bankart tear and Hill-Sachs lesion. He subsequently sustained another injury that caused AC joint deformity and was diagnosed as a Rockwood type IIIA AC joint dislocation. Physical examination showed shoulder instability, pain, and restricted range of motion. Imaging studies, including magnetic resonance imaging and computed tomography scans, revealed a soft tissue Bankart lesion, a Hill-Sachs lesion of the posterolateral humeral head, and a type IIIA AC joint separation. A combined arthroscopic approach was selected because of the complexity of the injuries and the need to achieve optimal joint stability and rapid recovery. The patient underwent arthroscopic Bankart repair with knotless suture anchors for labral reattachment and anterior glenohumeral joint stabilization. He also underwent AC joint stabilization with an adjustable Endobutton fixation device to restore clavicular alignment.
CONCLUSION
The combined arthroscopic procedure for shoulder joint instability and AC joint dislocation was beneficial in restoring shoulder stability and function, as demonstrated by minimal postoperative pain, recovery of a full range of motion, and an uneventful course without recurrent dislocation. This case illustrates the effectiveness of a less invasive arthroscopic approach for managing complex shoulder pathologies and its potential as an alternative to open surgery in selected cases. Further research is required to assess long-term outcomes.
Core Tip: The management of chronic anterior shoulder instability accompanied by a Bankart lesion and Rockwood IIIA acromioclavicular joint dislocation is rare. In this case, the patient underwent combined arthroscopic Bankart repair and acromioclavicular joint stabilization with an adjustable Endobutton fixation system. The findings indicate that both conditions can be successfully managed in a single minimally invasive procedure.
