Surgery for atraumatic anterior-inferior shoulder instability: A modified capsular shift evaluated in 20 patients followed for 3 years

Abstract

We operated on 20 patients with nontraumatic anterior or anterior-inferior shoulder instability by a modified capsular shift with longitudinal incision of the capsule medially and a bony fixation of the inferior flap to the glenoid and labrum in the 1-3 o'clock position. All patients had tried physiotherapy for a minimum of 1 year. The mean age at the time of surgery was 26 (15-55) years. The mean follow-up was 38 (30-54) months. All patients were examined by an independent observer. The average Rowe score increased to 91 points from 25 preoperatively. 15/20 had little, if any, limitation in sports activities. After 3 years, 1 patient suffered recurrent subluxations and another had a redislocation.

The inferior glenohumeral ligament: A correlative investigation

“…4,6,24,34,35,45,50 Furthermore, surgical repairs for recurrent shoulder instability are based on correcting presumed pathologic alteration of the ligamentous restraints. 5,10,32,44,57 However, an understanding of the normal biomechanical, biochemical, and histologic properties and information on their relationships is not currently available.The IGHL has been described with respect to its anatomic, geometric, and biomechanical properties. 4,12,29,30,34,43,47,50 Characteristic differences have been shown between the 3 regions of the IGHL: the superior band, anterior axillary pouch, and the posterior axillary pouch (Figure 1).…”

Arthroscopic Treatment of Multi-Directional Shoulder Instability

“…Recurrence rates for this technique, as reported in 2 different series are approximately 10%. 21,22 Wirth et al 23,24 described an alterative technique to treat MDI with a superior capsular shift through a vertical incision in the midportion of the capsule. Recurrence rates for this technique are reported to be 6% to 12%.…”

Çok yönlü omuz instabiliteleri

“…Değişik tekniklerle elde edilen başarılı sonuç-lar bildirilmektedir. [20][21][22][23][24][25][26][27][28][29][30][31][32][33] …”

“…Açık kapsüler daraltma teknikleri ile %11-21 oranında başarısız sonuçlar bildirilmiştir. [24,25] Bu olgularda revizyonların sonuçları da yeterli değildir. Levine ve ark.…”

“…[31,32] Zaman içinde artan tecrübe ve teknik gelişmelere paralel olarak, açık tekniklere yakın seviyede başarılı sonuçlar elde edilmiştir. [20,21,24] Patolojilerin daha iyi anlaşılması, cerrahi deneyimin artması ve gelişen teknoloji, artroskopik teknikleri açık yöntemlerin alternatifi haline getirmiştir. Bizim tecrübelerimize göre, 1. ve 2.…”