CAPSULORRHAPHY THROUGH AN ANTERIOR APPROACH FOR THE TREATMENT OF ATRAUMATIC POSTERIOR GLENOHUMERAL INSTABILITY WITH MULTIDIRECTIONAL LAXITYOF THE SHOULDER

Citation
Ma. Wirth et al., CAPSULORRHAPHY THROUGH AN ANTERIOR APPROACH FOR THE TREATMENT OF ATRAUMATIC POSTERIOR GLENOHUMERAL INSTABILITY WITH MULTIDIRECTIONAL LAXITYOF THE SHOULDER, Journal of bone and joint surgery. American volume (Print ed.), 80A(11), 1998, pp. 1570-1578
Citations number
35
Categorie Soggetti
Orthopedics,Surgery
ISSN journal
00219355
Volume
80A
Issue
11
Year of publication
1998
Pages
1570 - 1578
Database
ISI
SICI code
0021-9355(1998)80A:11<1570:CTAAAF>2.0.ZU;2-O
Abstract
Between June 1983 and March 1992, we performed a capsular reconstructi on procedure through an anterior approach in ten patients (ten shoulde rs) who had multidirectional laxity of the shoulder and symptomatic at raumatic posterior glenohumeral instability, The procedure included cl osure of the capsule in the rotator interval and imbrication of the an terior, inferior, and posteroinferior aspects of the capsule by a doub le-breasting technique that decreases the overall capsular volume. The mean duration of follow-up was sixty months (range, twenty-four to 10 3 months). According to the system of Rowe and Zarins, the result was graded as excellent for five shoulders, good for four, and poor for on e. On the basis of our results, we recommend capsular reconstruction t hrough an anterior approach only in patients who have persistent multi directional laxity and symptomatic atraumatic posterior instability of the shoulder despite participation in an intensive rehabilitation pro gram.