A 4-portal arthroscopic stabilization in posterior shoulder instability

Goubier, J.-N.; Iserin, A.; Duranthon, L.-D.; Vandenbussche, E.; Augereau, B

doi:10.1016/s1058-2746(03)00039-9

Cited by 49 publications

(35 citation statements)

References 21 publications

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“…Goubier et al [34] Ⅳ CLR 2 (7) 25 (93) 25 (96) 25 (93) NR recurrences had also undergone prior surgery. Additional evidence of the effect of prior surgery having an effect on revision rates is supported by the level 2 cohort study of 100 athletic shoulders by Bradley et al [8] in which they reported 25% (2 of 8) of their revisions had undergone a prior thermal capsulorrhaphy procedure.…”

Section: Concomitant Injuriesmentioning

confidence: 99%

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

DeLong

Bradley

2015

WJO

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Posterior instability of the shoulder is becoming an increasingly recognized shoulder injury in the athletic population. Diagnostic elements, such as etiology, directionality, and degree of instability are essential factors to assess in the unstable athletic shoulder. Concomitant injuries and associated pathologic lesions continue to be a significant challenge in the surgical management of posterior shoulder instability. Return to sport and previous level of play is ultimately the goal for every committed athlete and surgeon, thus subpopulations of athletes should be recognized as distinct entities requiring unique diagnostic, functional outcome measures, and surgical approaches.

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Section: Concomitant Injuriesmentioning

confidence: 99%

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

DeLong

Bradley

2015

WJO

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“…[8][9][10] More recently, arthroscopic techniques have shown good results. [1][2][3][4][5][6][7] Although most surgeons are comfortable with anterior labral repair, arthroscopic procedures about the posterior glenoid and capsule can be more difficult because of their relative infrequency.…”

Section: Discussionmentioning

confidence: 99%

“…When one is addressing posterior labral pathology, surgical techniques using 2 portals posteriorly for anchor placement and suture manipulation have been published. 1,2 Other reports relate the use of an accessory portal for anchor placement. [3][4][5] Still other reports describe a surgical technique for addressing posterior labral pathology with a lateralized posterior portal that is used initially for viewing but is also in the correct location for anchor placement and capsular repair.…”

mentioning

confidence: 99%

Arthroscopic Posterior Labral Repair and Capsular Shift With a Lateralized Posterior Portal

Ciccone¹

2013

Arthroscopy Techniques

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Arthroscopic techniques for posterior shoulder subluxation with labral injuries in athletes have shown good results. The difficulty with the procedure is gaining appropriate access to the posteroinferior quadrant of the glenoid at a steep enough angle that allows for safe anchor placement. Various portals have been described that can be used as accessory portals for anchor placement. Although the use of additional portals to create appropriate access to the joint is always encouraged, preoperative planning can minimize the need for their use. The video shows a simple technique for posterior labral repair with capsular plications through a lateralized posterior portal in the lateral decubitus position. This technique allows the surgeon to address posterior labral tears and capsular laxity without the need for accessory portals.

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“…Arthroscopic repair of a glenoid labral tear is a common procedure and in certain cases of traumatic shoulder instability, a tear of the posterior or posteroinferior labrum is encountered. Although a number of portals have been described [1][2][3][4] that provide excellent access to place anchors and perform the capsulolabral repair, preparation of the posterior, and posteroinferior glenoidlabral interface may be difficult. Classically, this portion of the labrum has been prepared using a direct posterior or accessory posterolateral portal.…”

mentioning

confidence: 99%

“…Classically, this portion of the labrum has been prepared using a direct posterior or accessory posterolateral portal. [4][5][6][7][8][9] However, these portals usually provide an unfavorable trajectory that makes insertion of an arthroscopic labral preparation instrument into the chondrolabral junction difficult. This is due to the lack of co-linearity of the cannula relative to the posterior glenoid and labrum.…”

mentioning

confidence: 99%