Shift of the posteroinferior aspect of the capsule for recurrent posterior glenohumeral instability.

Bigliani, Louis U.; Pollock, Roger G.; McIlveen, S J; Endrizzi, Donald P.; Flatow, Evan L.

doi:10.2106/00004623-199507000-00006

Cited by 154 publications

(81 citation statements)

References 28 publications

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“…Most authors have found that multidirectional shoulder instability was equally common in males and females and that it was often bilateral with a high recurrence rate [1,3,4,6,13,15]. In our series there was a moderate female predominance.…”

Section: Discussionsupporting

confidence: 46%

Non-operative treatment of multidirectional shoulder instability

Kiss

Damrel

Mackie

et al. 2001

International Orthopaedics

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At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment before the rehabilitation programme (group B).Subjectively 11 of the non-operated shoulders (group A) were cured and 27 improved, 23 of the shoulders remained the same and one was worse at follow-up. According to the age and gender adjusted Constant score, 38 of the non-operated shoulders had either no disability or only mild disability, nine had moderate disability, while the remaining 15 had severe or total disability. These figures were far worse in group B. In group A only four shoulders required operation, while in group B seven required operation following rehabilitation.Patients who had had previous shoulder surgery, those with a work related injury and those with psychological problems were less likely to benefit from the rehabilitation programme.Résume Nous avons suivi pendant 3.7 ans 84 épaules chez 59 patients avec une instabilité multidirectionnelle traitée par un programme de rééducation. Soixante-deux épaules (groupe A) ne recevaient aucun traitement chirurgical, et 22 épaules (groupe B) ont eu un traitement chirurgical inefficace avant la rééducation. Dans le groupe A, 11 sont sans symptôme, 27 sont améliorés, 23 restent sans changement, et une est aggravé. Selon le score de Constant, 38 épaules n'avaient aucune insuffisance ou avaient des signes cliniques très modérés, neuf avaient des signes modérés et 15 avaient une instabilité sérieuse. Les résultats dans le groupe B ont été beaucoup plus mauvais. Dans groupe A quatre épaules et dans le groupe B sept épaules ont été opérées après la rééducation. Les patientes qui étaient traités chirurgicalement á cause d'un accident du travail ont fait leur programme de rééduca-tion avec moins de succès.

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Section: Discussionsupporting

confidence: 46%

Non-operative treatment of multidirectional shoulder instability

Kiss

Damrel

Mackie

et al. 2001

International Orthopaedics

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“…This point was not mentioned in the majority of the previous studies [24,29,32], and could be the reason for the high recurrence rates which were reported. This contention is supported by Bigliani et al [1] who, by taking into account the underlying pathology of the condition, were able to achieve good or very good results in a high percentage of patients with posterior instability. The majority of their patients had capsular laxity, mostly without a history of trauma.…”

mentioning

confidence: 76%

Effectiveness of glenoid osteotomy in atraumatic posterior instability of the shoulder associated with excessive retroversion and flatness of the glenoid

Graichen

Koydl

Zichner

1999

International Orthopaedics

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“…Many shoulders with posterior instability will also present with inferior laxity or multidirectional instability (MDI). 3 Posterior dislocations can be an acute entity associated with a traumatic event. 7 Such an event often creates an impression defect on the anterior aspect of the humeral head (reverse Hill-Sachs lesion).…”

Section: Mechanism Of Injurymentioning

confidence: 99%

“…Most surgical techniques involve a direct repair of the posterior Bankart lesion to the glenoid rim in combination with various capsulorrhaphy techniques. 3,16,33,42,43 Arthroscopic labral repair has been shown to be an effective method for treatment of individuals with posterior shoulder instability and posterior Bankart lesions. 18,22,23,42,43 The purpose of this case series is to describe the surgical management, physical therapy intervention, sport-specific rehabilitation, and outcomes of 5 collegiate wrestlers who underwent a posterior shoulder stabilization procedure.…”

Section: Imagingmentioning

confidence: 99%