A Modified Capsular Shift for Atraumatic Anterior-Inferior Shoulder Instability

Abstract

Results in this series demonstrate the efficacy and durability of a modified capsular shift procedure for the treatment of atraumatic anterior-inferior shoulder instability.

Multidirectional Instability of the Shoulder: A Systematic Review

“…The dominant side was involved in 269 (58%) of 468 shoulders, whereas the nondominant side was involved in 199 (42%) shoulders. These data was not reported in the remaining 393 shoulders 12,14,17,19,21,26,27,29,34 (Table 2). Patients were assessed at a median follow-up period of 4.2 years (ranging from 9 months 28 to 16 years 33 ).…”

“…Only 8 13,18,19,23,25,27,29,33 of 24 studies, describing 271 patients, also reported in their population individuals who underwent previous shoulder surgery for the management of MDI. Previous surgical procedures were performed in 71 (26%) of them: open capsular shift in 3 (4%), 13 laser-assisted capsular shrinkage in 10 (14%), 18 diagnostic arthroscopy in 2 (3%), 19 thermal capsulorrhaphy in 2 (3%), 23 and Bankart repair in 4 (6%).…”

“…25 In 50 (70%) patients, the previous surgery for instability was not specified. 27,29,33 Therefore no further statistical analysis was possible.…”

“…Only 9 included studies, 3,14,15,17,21,23,27,28,32 describing 401 (51%) of 790 patients, provided a description of imaging examinations performed for preoperative assessment. The remaining 15 studies, 12,13,16,[18][19][20]22,[24][25][26][29][30][31]33,34 describing 389 (49%) patients, did not provide any imaging assessment ( Table 3).…”

“…The sulcus sign 12,13,34 was necessary in 3 studies, and patients with traumatic onset, SLAP, rotator cuff tears, Bankart lesions, bony Bankart lesions, or Hill-Sachs lesions were excluded in others. 3,21,22,24,25,27,28,30 Management…”