The arthroscopic treatment of posterior shoulder instability: two-year results of a multiple suture technique

McIntyre, Louis F.; Caspari, Richard B.; Savoie, Felix H.

doi:10.1016/s0749-8063(97)90119-5

Cited by 128 publications

(88 citation statements)

References 9 publications

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“…The indications for it widened because of the improvement of the implants and technical skills. This treatment increasingly meets basic requirements: secure stabilization of the joint and minimises the possibility of restraint postoperatively [1][2][3][4][5]. It is essential that this operation be performed in the initial period of the unavoidably long series of untreated recurrent dislocations in adolescents and young people, regardless of their requirements for the lifestyle -whether actively practicing sports or not.…”

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confidence: 99%

“…Only thus the healing process responsible for the future stability of the joint can be ensured. In the cases of multidirectional instability, the technique of the extracapsular suture for the plication of the posterior capsule can be used [2][3][4][5].…”

mentioning

confidence: 99%

“…The technique is not suitable in the presence of bone lesions or dysplasia of cavitas glenoidalis. The most convenient time for surgery is immediately after diagnosis -first or second dislocation [1][2][3][4][5]. But when dislocations are more and the patients are active athletes, the combined single-step surgical intervention involving arthroscopic surgery combined with the operative technique of Ivan Matev is a method of choice [ 20 ].…”

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confidence: 99%

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Shoulder Instability - Combined Surgical Treatment

Dimitrov¹,

Matev²,

Georgiev³

et al. 2013

Proceeding BAS

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The goal of this study is to present the results after one-stage combined surgical treatment of the unstable shoulder joint by arthroscopic stabilization followed by operative technique of Matev. For the period from 2004 to 2009, we operated on fourteen patients: twelve with anterior and two with combined shoulder instability. Each of the patients had between ten and fifteen incidents. The period of follow-up was between 4 and 7 years. The results were evaluated radiographically and clinically. Functionally, the patients recovered according to a well-established protocol of physiotherapy and external rotation regained full range of motion. They were able to return to sports activity. The successful results in all patients warrant this combined operative technique to be the method of choice in the treatment of a greater number of dislocations of the shoulder, especially in people who want to quickly return to active sports.

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Shoulder Instability - Combined Surgical Treatment

Dimitrov¹,

Matev²,

Georgiev³

et al. 2013

Proceeding BAS

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“…다방향 견관절 불안정성의 수술적 치료로 관혈적인 관절 낭 이전술에서 관절경적인 치료에 이르기까지 다 양한 결과가 보고되고 있으며 13,15) , 최근에는 고주 파 에너지를 이용한 관절낭의 축화술이 다양하게 -이광진 외 : 다방향 견관절 불안정성에 대한 관절경적 치료 -경관절와봉합술과관절낭축화술을동시에사용한군과관절낭축화술을사용한군의비교-- . Gerber 등 …”

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Arthroscopic Treatment for Multidirectional Shoulder Instability - Comparison between Thermal Capsulorrhaphy and Transglenoid Suture with Thermal Capsulorrhaphy -

Rhee¹,

Kim²,

Shin³

et al. 2006

The Journal of the Korean Shoulder and Elbow Society

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� Purpose:To compare the clinical results of arthroscopic transglenoid suture with thermal capsulorrhaphy and thermal capsulorrhaphy on multidirectional shoulder instability Materials and Methods: From January 1993 to September 2001, 23 patients who received the artrhoscopic treatment were the subjects and follow up period were at least 2 years. Each were subdivided as Group A(7 cases), which took transglenoid suture with thermal capulorrhaphy and Group B(16 cases), who took only thermal capsulorrhaphy. Clinical results were evaluated by Rowe score before and after surgery.Results: After operation according to Rowe score 4(57.1%) were excellent, 1(14.3%) were good and 2(28.6%) were fair in the Group A. for Group B 6(37.5%) were excellent, 2(12.5%) were good, 5(31.3%) were fair and 3(18.8%) were poor. Shoulder instability was recurred in 1(14.2%) case of Group A and 8(50%) cases of Group B during follow up period.Conclusion: Thermal capsulorrhaphy is thought to be a good adjuvent method, if it done with anterior capsular shift by transglenoid suture in multidirectional shoulder instability.

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“…cally unpredictable response to conservative and surgical management [2]. It occurs mainly in young athletes,and the mechanism is a posteriorly directed force against an ad Conventional radiographs do not enable diagnosis of injuries to the stabilizing soft tissue structures [3].…”

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confidence: 99%