This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by WIRTH, M. A.
Right arrow Articles by ROCKWOOD, C. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by WIRTH, M. A.
Right arrow Articles by ROCKWOOD, C. A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?
The Journal of Bone and Joint Surgery 80:1570-8 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Capsulorrhaphy Through an Anterior Approach for the Treatment of Atraumatic Posterior Glenohumeral Instability with Multidirectional Laxity of the Shoulder*{dagger}

MICHAEL A. WIRTH, M.D.{ddagger}, GORDON I. GROH, M.D.§ and CHARLES A. ROCKWOOD, JR., M.D.{ddagger}, SAN ANTONIO, TEXAS

Investigation performed at the Shoulder Service, University of Texas Health Science Center at San Antonio, San Antonio

Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule in the rotator interval and imbrication of the anterior, inferior, and posteroinferior aspects of the capsule by a double-breasting technique that decreases the overall capsular volume. The mean duration of follow-up was sixty months (range, twenty-four to 103 months). According to the system of Rowe and Zarins, the result was graded as excellent for five shoulders, good for four, and poor for one. On the basis of our results, we recommend capsular reconstruction through an anterior approach only in patients who have persistent multidirectional laxity and symptomatic atraumatic posterior instability of the shoulder despite participation in an intensive rehabilitation program.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Am J Sports MedHome page
C. B. Dewing, F. McCormick, S. J. Bell, D. J. Solomon, M. Stanley, T. B. Rooney, and M. T. Provencher
An Analysis of Capsular Area in Patients With Anterior, Posterior, and Multidirectional Shoulder Instability
Am. J. Sports Med., March 1, 2008; 36(3): 515 - 522.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
L. J. Bisson
Thermal Capsulorrhaphy for Isolated Posterior Instability of the Glenohumeral Joint Without Labral Detachment
Am. J. Sports Med., December 1, 2005; 33(12): 1898 - 1904.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
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]

Home page
 JBJSHome page
S.-H. Kim, K.-C. Noh, J.-S. Park, B.-D. Ryu, and I. Oh
Loss of Chondrolabral Containment of the Glenohumeral Joint in Atraumatic Posteroinferior Multidirectional Instability
J. Bone Joint Surg. Am., January 1, 2005; 87(1): 92 - 98.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
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]

Home page
 Am J Sports MedHome page
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]

Home page
 JBJSHome page
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]

Home page
 Am J Sports MedHome page
E. G. McFarland, T. K. Kim, P. Banchasuek, and E. F. McCarthy
Histologic Evaluation of the Shoulder Capsule in Normal Shoulders, Unstable Shoulders, and after Failed Thermal Capsulorrhaphy
Am. J. Sports Med., September 1, 2002; 30(5): 636 - 642.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
C. Hurschler, N. Wulker, H. Windhagen, P. Plumhoff, and N. Hellmers
Medially Based Anterior Capsular Shift of the Glenohumeral Joint: Passive Range of Motion and Posterior Capsular Strain
Am. J. Sports Med., May 1, 2001; 29(3): 346 - 353.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
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]