Arthroscopic Treatment of Shoulder Instability: A Systematic Review of Capsular Plication Versus Thermal Capsulorrhaphy

Rolfes, Kasey

doi:10.4085/1062-6050-49.3.63

Cited by 10 publications

(11 citation statements)

References 21 publications

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“…Despite this early success, TCS had higher long-term failure rates owing to rebound ligamentous stretching 69 . Furthermore, concerns were raised regarding its high initial maintenance costs and technical difficulties.…”

Section: General History Of Posterior Shoulder Instabilitymentioning

confidence: 99%

History of surgical stabilization for posterior shoulder instability

et al. 2019

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BackgroundPosterior shoulder instability is common in young athletes. Although the posterior shoulder instability literature is less robust than its anterior counterpart, many surgical procedures have been developed and refined over the past several centuries to address this condition.Materials and methodsThis article represents a retrospective historical analysis of the most common procedures used to treat posterior shoulder instability after sports injuries. A systematic approach to obtain published information on posterior shoulder instability was performed using the PubMed/MEDLINE database, manual searches of high–impact factor journals, and conference proceedings and books.ResultsA wide array of both soft tissue–based and bone-based procedures have been developed for the treatment of posterior shoulder instability, ranging from procedures addressing the soft tissue alone (capsular shift, labral repair, reverse Putti-Platt) or bone-based procedures (glenoid and/or humeral osteotomy, glenoid bone block) to a combination of both bone and soft-tissue procedures (modified McLaughlin procedure).DiscussionOver the past several centuries, a number of procedures have been developed to address posterior shoulder instability, particularly as this pathology has become better understood. Future work is required not only to continue to advance these procedures but also to assess their outcomes. An understanding of the historical perspective of posterior shoulder instability procedures is essential as surgeons continue to modify these procedures in an effort to best help their patients.

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Section: General History Of Posterior Shoulder Instabilitymentioning

confidence: 99%

History of surgical stabilization for posterior shoulder instability

et al. 2019

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“…These procedures had high failure rates due to rebound ligament stretching. 4 Arthroscopic capsular shift procedures that use capsular plication have also been developed to mimic the gold-standard open procedure. Techniques vary, with the use of different suture or tack applications, plication and pleating variations, humeral-or glenoid-based shifts, direction of approach, and posterior pinch-tuck methods.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Surgical options to reduce the capsular volume include open capsular shift and plication, arthroscopically capsular plication, and thermal capsulorrhaphy. 2,4,5 The open anteroinferior capsular shift-plication involves incising, overlapping, and suturing the capsule to reduce redundancy. Arthroscopic techniques include the thermal capsulorrhaphy and the arthroscopic version of the open capsular shift-plication procedure.…”

Section: Introductionmentioning

confidence: 99%

“…Techniques vary, with the use of different suture or tack applications, plication and pleating variations, humeral-or glenoid-based shifts, direction of approach, and posterior pinch-tuck methods. 4 A synovial rasp is used to lightly abrade the synovium overlying the posterior and inferior capsule and along the capsular aspect of the glenoid labrum. Care is taken not to violate the integrity of the capsule with hooks and a special type of stiches.…”

Section: Introductionmentioning

confidence: 99%

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The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Kalkar

Esenyel

Saygılı

et al. 2017

J Orthop Surg (Hong Kong)

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Purpose: The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication. Material and method: The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study. The average follow-up time was 21.2 months. Evaluation was made of the preoperative number of dislocations, postoperative recurrence, functional status, and daily activity performance of the patients. Shoulder range of motion was measured. The results were evaluated using the Rowe shoulder score and the Oxford shoulder instability score. Results: Recurrence was observed in only one patient who had a shoulder dislocation after trauma, thus giving a recurrence rate of 4.5%. Shoulder range of motion was full in all except that one patient. The mean Rowe shoulder score was 95.5 (excellent) and Oxford shoulder stability score was 44.6 (excellent). Conclusion: No recurrent shoulder dislocation was observed in patients who underwent Bankart repair surgery. Plication was not performed with the Bankart repair. Close to full range of motion was obtained in all patients. In conclusion, Bankart repair alone can be considered to be sufficient for the treatment of traumatic recurrent anterior shoulder instability.

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“…Arthroscopic procedures are typically preferred due to their minimally invasive and conservative nature. 12 Arthroscopic Bankart repair (ie, anatomic repair of Bankart lesion) is commonly used 13 and aims to restore the labrum and re-establish appropriate tension in the joint capsule and ligaments. 14 In certain cases, open (ie, surgery via a large incision) procedures are preferred.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the effects of arthroscopic Bankart repair and open Latarjet shoulder stabilisation procedures on shoulder joint neuromechanics and function: a single-centre, parallel-arm trial protocol

Fox

Bonacci

Gill

et al. 2021

BMJ Open Sport Exerc Med

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IntroductionShoulder instability injuries are common in sports involving collisions and overhead movements. Arthroscopic Bankart repair and the open Latarjet are two commonly used surgical stabilisation procedures. There is a lack of knowledge surrounding movement strategies, joint loading and muscle strength after each of these procedures. This study will compare: (1) shoulder joint neuromechanics during activities of daily living and an overhead sporting task; (2) shoulder range of motion; (3) shoulder strength; and (4) self-reported shoulder function and health status, between individuals who have undergone an arthroscopic Bankart repair versus open Latarjet.Methods and analysisThis is a prospective cohort, single-centre, non-randomised parallel arm study of surgical interventions for athletic shoulder instability injuries. Thirty participants will be recruited. Of these, 20 will have experienced one or more traumatic shoulder instability injuries requiring surgical stabilisation—and will undergo an arthroscopic Bankart repair or open Latarjet procedure. The remaining 10 participants will have no history of shoulder instability injury and act as controls. Participants will undergo baseline testing and be followed up at 3, 6 and 12 months. A two-way (group×time) analysis of variance with repeated measures on one factor (ie, time) will compare each outcome measure between groups across time points.Ethics and disseminationThis study was approved by the Barwon Health and Deakin University Human Research Ethics Committees. Outcomes will be disseminated through publications in peer-reviewed journals and presentations at relevant scientific conferences.Trial registration numberAustralian and New Zealand Clinical Trials Registry (ACTRN12620000016932).

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Arthroscopic Treatment of Shoulder Instability: A Systematic Review of Capsular Plication Versus Thermal Capsulorrhaphy

Cited by 10 publications

References 21 publications

History of surgical stabilization for posterior shoulder instability

History of surgical stabilization for posterior shoulder instability

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Evaluating the effects of arthroscopic Bankart repair and open Latarjet shoulder stabilisation procedures on shoulder joint neuromechanics and function: a single-centre, parallel-arm trial protocol

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