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The Journal of Bone and Joint Surgery 78:1419-21 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Treatment of a Stiff Shoulder after Posterior Capsulorrhaphy. A Report of Three Cases*

JON J. P. WARNER, M.D.{dagger}, PITTSBURGH and JOSEPH P. IANNOTTI, M.D., PH.D.{ddagger}, PHILADELPHIA, PENNSYLVANIA

Investigation performed at the University of Pittsburgh, Pittsburgh, and the University of Pennsylvania, Philadelphia


   Introduction
 
Loss of external rotation is a recognized complication after anterior capsular repair1,17; however, there is little information in the literature with regard to similar problems associated with posterior capsular shift reconstruction for posterior glenohumeral instability2,3,5,6,11-16. The purpose of this paper is to describe three patients who had a painful shoulder associated with loss of flexion, internal rotation, and horizontal adduction after a posterior capsular shift procedure for posterior instability of the shoulder. The pain and loss of motion were treated with a posterior soft-tissue-lengthening procedure.


   Case Reports
 
CASE 1. A thirty-three-year-old male truck driver was first seen by us sixteen months after a posterior capsular shift procedure on the left, non-dominant shoulder. Before that procedure, he had had an unsuccessful open acromioplasty followed by a long program of physical therapy. According to the operative report, the capsule was lax. In addition, the capsular repair was performed with the shoulder in . . . [Full Text of this Article]


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 J Am Acad Orthop SurgHome page
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.
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