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Related Experiment Videos

Arthroscopic treatment of multidirectional instability.

S H Treacy1, F H Savoie, L D Field

  • 1Mississippi Sports Medicine and Orthopaedic Center, Jackson 39202, USA.

Journal of Shoulder and Elbow Surgery
|September 3, 1999
PubMed
Summary

Arthroscopic capsular shift surgery effectively treats multidirectional shoulder instability, achieving comparable results to open procedures. This minimally invasive technique offers good outcomes for patients with persistent shoulder instability.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Multidirectional instability of the shoulder is a condition often treated with surgical inferior capsular shift.
  • Previous reports suggest good to excellent outcomes (75%-100%) for mid-term follow-up of open procedures.
  • Arthroscopic approaches for shoulder instability have been previously described.

Purpose of the Study:

  • To review the outcomes of arthroscopic capsular shift for multidirectional shoulder instability.
  • To evaluate results with a minimum follow-up of 2 years.

Main Methods:

  • Retrospective study of 25 patients undergoing arthroscopic capsular shift with transglenoid technique (1990-1993).
  • Patients had failed conservative physical therapy and had no prior shoulder surgery.

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  • Included assessment of instability, range of motion, and patient-reported outcomes (Bankart score).

    • Main Results:

    • Average follow-up was 60 months (range 36-80 months).
    • 88% (21/25) of patients achieved satisfactory results using the Neer system.
    • Full symmetric range of motion was regained in all but one patient; average Bankart score was 95.

    Conclusions:

    • Arthroscopic capsular shift provides satisfactory outcomes for multidirectional shoulder instability.
    • The results appear comparable to traditional open inferior capsular shift procedures.
    • This arthroscopic technique is a viable option for patients with persistent shoulder instability unresponsive to conservative treatment.