Capsulorrhaphy Through an Anterior Approach for the Treatment of Atraumatic Posterior Glenohumeral Instability with Multidirectional Laxity of the Shoulder

Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1998-11, Vol.80 (11), p.1570-8
Main Authors: WIRTH, MICHAEL A, GROH, GORDON I, ROCKWOOD, CHARLES A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Female
Humans
Joint Instability - surgery
Male
Medical sciences
Orthopedic Procedures - methods
Orthopedic surgery
Postoperative Complications
Recurrence
Shoulder Joint - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule in the rotator interval and imbrication of the anterior, inferior, and posteroinferior aspects of the capsule by a double-breasting technique that decreases the overall capsular volume. The mean duration of follow-up was sixty months (range, twenty-four to 103 months). According to the system of Rowe and Zarins, the result was graded as excellent for five shoulders, good for four, and poor for one. On the basis of our results, we recommend capsular reconstruction through an anterior approach only in patients who have persistent multidirectional laxity and symptomatic atraumatic posterior instability of the shoulder despite participation in an intensive rehabilitation program.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199811000-00002