Operative Results of the Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder*

Pollock, Roger G.; Owens, J.M.; Flatow, Evan L.; Bigliani, Louis U.

doi:10.2106/00004623-200007000-00003

Cited by 162 publications

(89 citation statements)

References 21 publications

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“…Several authors have reported a greater rate of recurrent instability, postoperative pain, and a significant decrease in functional level after surgical treatment of posterior instability versus anterior instability. 4,5,12,16,26,27 Although long-term outcomes were not captured in the current case series, the overall prevalence of recurrent instability following arthroscopic stabilization for the treatment of unidirectional posterior instability is 5%. 30 Our subjects were closely followed in physical therapy over a mean of 12 visits for a mean of 7.2 weeks.…”

Section: 37mentioning

confidence: 95%

“…The function subset (maximum score, 60) improved from a mean of 32 (range, 18-45) at the initial evaluation to a mean of 54 (range, 51-56) at discharge. At the initial physical therapy evaluation, the patients had a mean of 22 (range, 15-28) on the pain subset (maximum score, 30), and at discharge had a mean of 27 (range, [21][22][23][24][25][26][27][28][29]. The patients had a mean satisfaction subset (maximum score, 10) of 4 (range, 0-6) at the initial evaluation, 6 (range, 5-7) at discharge.…”

Section: 37mentioning

confidence: 99%

See 1 more Smart Citation

Rehabilitation and Functional Outcomes in Collegiate Wrestlers Following a Posterior Shoulder Stabilization Procedure

Eckenrode¹,

Logerstedt²,

Sennett³

2009

J Orthop Sports Phys Ther

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Section: 37mentioning

confidence: 95%

Section: 37mentioning

confidence: 99%

Rehabilitation and Functional Outcomes in Collegiate Wrestlers Following a Posterior Shoulder Stabilization Procedure

Eckenrode¹,

Logerstedt²,

Sennett³

2009

J Orthop Sports Phys Ther

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“…[1,[15][16][17][18] Başlangıçta açık cerrahi teknikler altın standart olarak kabul edilirken, son yıllarda deneyimli artroskopistlerin serilerinde benzer sonuçlar elde edilmesi artroskopik cerrahiye olan ilgiyi arttırmıştır. [19][20][21][22][23] Açık cerrahi teknikler ÇYİ'nin açık cerrahi teknikler ile tedavisi, tek yöne olan instabilitelerle kıyaslandığında çok başarılı bulunmamıştır.…”

Section: Cerrahi Tedaviunclassified

Çok yönlü omuz instabiliteleri

Yanmis¹

2013

TOTBID

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lezyonlarla ilişkili olmadığı ve rehabilitasyon yapılarak tedavi edilebilecekleri öngörülmekteydi. Artroskopinin gelişmesi sonrası bu tip instabilitelerde de eklem içinde lezyonlar saptanması, bu sınıflamanın yetersiz olduğu görüşünü kuvvetlendirmiştir. Patolojileri tanımlamak-ta yetersiz kalsa da bu sınıflama, klinik kullanım kolaylığından dolayı, uzun yıllar popülerliğini korumuştur.Artoskopinin yaygınlaşmasına paralel olarak 2000'li yıllarda, instabilitenin nedeni, yönü, çıkık sayısı gibi birçok parametreyi esas alan yeni sınıflamalar yapıl-mıştır. Gerçekten bu sınıflamalar, omuz instabilitelerinin ayrıntılarıyla tanımlanması açısından çok beğeni toplamıştır. Ancak bu sınıflamaların, instabiliteyi çok iyi tanımlamış olmalarına karşın, tedavide yol gösteri-cilikleri halen yeterli değildir. TARİHÇETravmatik omuz çıkıkları, Mısır ve Yunan tıbbında çok iyi bilinen en eski omuz sorunlarıdır. Ancak çok yönlü instabilite (ÇYİ) 1980 yılında Neer ve Foster [1] tarafın-dan tanımlanmıştır. Bankart ve Perthes, instabil omuzdaki lezyonları 20. Yüzyıl başında tanımlamışlardır. Uzun yıllar instabilite bu lezyonlar ile ilişkilendirilerek tarif edilmiştir. ÇYİ'den sorumlu tutulan eklem kapsülü gevşekliği ise, 1980 yılında bir patoloji olarak omuz instabilitesi nedeni olarak kabul edilmeye başlanmıştır. [2,3] Omuz instabilitesinin sınıflamasında çok uzun yıl-lar Matsen ve arkadaşlarının TUBS ve AMBRI olarak kodladıkları sistem kabul edilmiştir. AMBRI temelde çok yönlü instabiliteyi işaret eder. Travma olmaksı-zın geliştiği kabul edilen bu tip instabilitenin eklem içi Multidirectional instability of the shoulder is a complex problem because of intra articular and extra articular pathologies. This condition of the shoulder can be a difficult diagnostic and therapeutic dilemma for the shoulder surgeons. The exact diagnosis can be achieved with patient's history and special physical examinations. Multiple factors need to be considered before the treatment of multidirectional instability is instituted, including the age, activity level, bone and soft-tissue pathologies, degree, direction, frequency, and etiology of instability. Treatment options can be physical therapy, arthroscopic or open surgery. Operative treatment is indicated when effective non-operative treatment has failed. Arthroscopic capsulolabroplasty is a reliable procedure, which not only provides capsular plication, but also detects and treats other intraarticular pathologies of the instable shoulder such as Superior Labrum Anterior Posterior and posterior labral tear. In this article, we discuss the clinical problems of treatment and the efficiency of several surgical techniques in multidirectional instability of shoulder. Çok yönlü omuz instabiliteleri

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“…3 Definitions of multidirectional instability (MDI) found in the literature vary among authors, from instability occurring in more than 1 direction to instability occurring in all 3 directions (anterior, posterior, and inferior) and determined by a combination of patient history, physical examination, and examination under anesthesia. 4,5 Instability becomes a more serious problem over time because excessive movement in the socket can result in labral lesions. With increased frequency of dislocations, these Bankart lesions become less reparable and may spread to the inferior, posterior, or multiple aspects of the joint, creating more instability and further altering glenohumeral mechanics, which may ultimately lead to progressive osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

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

Rolfes

2015

Journal of Athletic Training

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Objective: Shoulder instability is a common disorder of the shoulder that can result in debilitating pain and decreased function. Poorly treated cases of instability result in excessive mobility, possibly leading to labral tears and degenerative arthritis. The purpose of my systematic review was to compare the effectiveness of 2 popular arthroscopic techniques used to reduce shoulder instability: capsular plication and thermal capsulorrhaphy.Data Sources: Articles were retrieved from PubMed, Cochrane Library, and Ovid/MEDLINE searches using the terms capsular plication, capsular shift, capsular shrinkage, shoulder capsulorrhaphy, and treatment of shoulder instability.Study Selection: I sought cohort studies, case reviews, and randomized controlled trials published from 2000 through March 2013 that evaluated the outcomes of the 2 surgical procedures, which resulted in a total of 12 studies.Data Extraction: Outcome measures were range of motion, satisfaction, and return to previous activity level.Data Synthesis: The overall success rates of the reviewed studies were 91% for arthroscopic capsular plication and 76.5% for thermal capsulorrhaphy.Conclusions: Arthroscopic capsular plication had a higher rate of success than thermal capsulorrhaphy. However, postoperative management varied more among the thermal capsulorrhaphy studies and was generally less conservative than management involving standardized capsular-plication protocols. Future authors should investigate operative techniques and postoperative management, which may help to improve thermal capsulorrhaphy outcomes.

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Operative Results of the Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder*

Cited by 162 publications

References 21 publications

Rehabilitation and Functional Outcomes in Collegiate Wrestlers Following a Posterior Shoulder Stabilization Procedure

Rehabilitation and Functional Outcomes in Collegiate Wrestlers Following a Posterior Shoulder Stabilization Procedure

Çok yönlü omuz instabiliteleri

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

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