|
The Journal of Bone and Joint Surgery, Vol 71, Issue 2 205-216, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc
Posterior subluxation of the glenohumeral joint
J Fronek, RF Warren and M Bowen
Sports Medicine Service, Hospital for Special Surgery, New York, N.Y. 10021.
Twenty-four patients who had posterior subluxation of the glenohumeral
joint were assigned to one of two groups on the basis of the severity of
the symptoms. The sixteen patients in Group I, who had less severe
symptoms, were treated with a physical therapy program that was based on
exercises to strengthen muscles. The eleven patients in Group II (three of
whom had no success with physical therapy when they were originally in
Group I) had a posterior capsulorrhaphy, with or without a bone block.
According to an over-all rating, Group I had a rate of success of 63 per
cent, and Group II had a rate of success of 91 per cent. The patients who
had more severe ligamentous laxity were not more likely to fail either of
the treatment programs. Although voluntary subluxation may be a subtle but
important indicator of underlying emotional difficulties, it appears that,
in the patient who is emotionally stable, the ability to voluntarily
subluxate the shoulder posteriorly is not associated with a negative
prognosis for either non-surgical or surgical treatment. Patients who have
moderately disabling posterior subluxation of the shoulder should be
treated with an intensive program that is designed to strengthen muscles.
Patients who have symptoms that are severely disabling or who have had no
success with non-operative treatment should be treated with posterior
capsulorrhaphy. When the posterior aspect of the glenoid is severely
deficient and when the posterior portion of the capsule or the
infraspinatus tendon is attenuated, a bone block should augment the
reconstruction.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
C. A. Radkowski, A. Chhabra, C. L. Baker III, S. G. Tejwani, and J. P. Bradley
Arthroscopic Capsulolabral Repair for Posterior Shoulder Instability in Throwing Athletes Compared With Nonthrowing Athletes
Am. J. Sports Med.,
April 1, 2008;
36(4):
693 - 699.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. M. Escobedo, M. L. Richardson, Y. B. E. Schulz, J. C. Hunter, J. R. Green III, and K. J. Messick
Increased Risk of Posterior Glenoid Labrum Tears in Football Players
Am. J. Roentgenol.,
January 1, 2007;
188(1):
193 - 197.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. J. Millett, P. Clavert, G. F. R. Hatch III, and J. J. P. Warner
Recurrent Posterior Shoulder Instability
J. Am. Acad. Ortho. Surg.,
August 1, 2006;
14(8):
464 - 476.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. P. Bradley, C. L. Baker III, A. J. Kline, D. R. Armfield, and A. Chhabra
Arthroscopic Capsulolabral Reconstruction for Posterior Instability of the Shoulder: A Prospective Study of 100 Shoulders
Am. J. Sports Med.,
July 1, 2006;
34(7):
1061 - 1071.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. G. Bach and B. A. Goldberg
Posterior Capsular Contracture of the Shoulder
J. Am. Acad. Ortho. Surg.,
May 1, 2006;
14(5):
265 - 277.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. T. Provencher, S. J. Bell, K. A. Menzel, and T. S. Mologne
Arthroscopic Treatment of Posterior Shoulder Instability: Results in 33 Patients
Am. J. Sports Med.,
October 1, 2005;
33(10):
1463 - 1471.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. R. Bottoni, B. R. Franks, J. H. Moore, T. M. DeBerardino, D. C. Taylor, and R. A. Arciero
Operative Stabilization of Posterior Shoulder Instability
Am. J. Sports Med.,
July 1, 2005;
33(7):
996 - 1002.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. S. Chen, V. A. Diaz, M. Loebenberg, and J. E. Rosen
Shoulder and Elbow Injuries in the Skeletally Immature Athlete
J. Am. Acad. Ortho. Surg.,
May 1, 2005;
13(3):
172 - 185.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Robinson and J. Aderinto
Recurrent Posterior Shoulder Instability
J. Bone Joint Surg. Am.,
April 1, 2005;
87(4):
883 - 892.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.-H. Kim, J.-C. Park, J.-S. Park, and I. Oh
Painful Jerk Test: A Predictor of Success in Nonoperative Treatment of Posteroinferior Instability of the Shoulder
Am. J. Sports Med.,
December 1, 2004;
32(8):
1849 - 1855.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.-H. Kim, H.-K. Kim, J.-I. Sun, J.-S. Park, and I. Oh
Arthroscopic Capsulolabroplasty for Posteroinferior Multidirectional Instability of the Shoulder
Am. J. Sports Med.,
April 1, 2004;
32(3):
594 - 607.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.-H. Kim, K.-I. Ha, J.-H. Park, Y.-M. Kim, Y.-S. Lee, J.-Y. Lee, and J.-C. Yoo
Arthroscopic Posterior Labral Repair and Capsular Shift for Traumatic Unidirectional Recurrent Posterior Subluxation of the Shoulder
J. Bone Joint Surg. Am.,
August 1, 2003;
85(8):
1479 - 1487.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. J. Williams III, S. Strickland, M. Cohen, D. W. Altchek, and R. F. Warren
Arthroscopic Repair for Traumatic Posterior Shoulder Instability
Am. J. Sports Med.,
March 1, 2003;
31(2):
203 - 209.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. A. Tung and D. D. Hou
MR Arthrography of the Posterior Labrocapsular Complex: Relationship with Glenohumeral Joint Alignment and Clinical Posterior Instability
Am. J. Roentgenol.,
February 1, 2003;
180(2):
369 - 375.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. A. Mattano Jr, H. N. Sather, M. E. Trigg, and J. B. Nachman
Osteonecrosis as a Complication of Treating Acute Lymphoblastic Leukemia in Children: A Report From the Children's Cancer Group
J. Clin. Oncol.,
September 18, 2000;
18(18):
3262 - 3272.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Antoniou, D. T. Duckworth, and D. T. Harryman II
Capsulolabral Augmentation for the Management of Posteroinferior Instability of the Shoulder
J. Bone Joint Surg. Am.,
September 1, 2000;
82(9):
1220 - 1220.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
R. G. Pollock, J. M. Owens, E. L. Flatow, and L. U. Bigliani
Operative Results of the Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder
J. Bone Joint Surg. Am.,
July 1, 2000;
82(7):
919 - 919.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
W. N. Levine, J. S. Arroyo, R. G. Pollock, E. L. Flatow, and L. U. Bigliani
Open Revision Stabilization Surgery for Recurrent Anterior Glenohumeral Instability
Am. J. Sports Med.,
March 1, 2000;
28(2):
156 - 160.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Meister, J. R. Andrews, J. Batts, K. Wilk, and T. Baumgartner
Symptomatic Thrower's Exostosis: Arthroscopic Evaluation and Treatment
Am. J. Sports Med.,
March 1, 1999;
27(2):
133 - 136.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. A. WIRTH, G. I. GROH, and C. A. ROCKWOOD
Capsulorrhaphy Through an Anterior Approach for the Treatment of Atraumatic Posterior Glenohumeral Instability with Multidirectional Laxity of the Shoulder*{{dagger}}
J. Bone Joint Surg. Am.,
November 1, 1998;
80(11):
1570 - 8.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. J. P. WARNER, A. A. ALLEN, P. H. MARKS, and P. WONG
Arthroscopic Release of Postoperative Capsular Contracture of the Shoulder
J. Bone Joint Surg. Am.,
August 1, 1997;
79(8):
1151 - 8.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
J. J. P. WARNER and J. P. IANNOTTI
Treatment of a Stiff Shoulder after Posterior Capsulorrhaphy. A Report of Three Cases
J. Bone Joint Surg. Am.,
September 1, 1996;
78(9):
1419 - 21.
[Full Text]
|
|
|
|
|
|
|
E. G. McFarland, G. Campbell, and J. McDowell
Posterior Shoulder Laxity in Asymptomatic Athletes
Am. J. Sports Med.,
July 1, 1996;
24(4):
468 - 471.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. D. Ferrari, D. A. Ferrari, J. Coumas, and A. M. Pappas
Posterior Ossification of the Shoulder: The Bennett Lesion: Etiology, Diagnosis, and Treatment
Am. J. Sports Med.,
March 1, 1994;
22(2):
171 - 176.
[Abstract]
[PDF]
|
|
|
|
|
|
|
B. S. Shaffer, J. Conway, F. W. Jobe, R. S. Kvitne, and J. E. Tibone
Infraspinatus Muscle-splitting Incision in Posterior Shoulder Surgery: An Anatomic and Electromyographic Study
Am. J. Sports Med.,
January 1, 1994;
22(1):
113 - 120.
[Abstract]
[PDF]
|
|
|
|
