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Arthroscopic shoulder capsulorraphy: does it work?

R M Gross1

  • 1Creighton University School of Medicine, Omaha, Nebraska.

The American Journal of Sports Medicine
|July 1, 1989
PubMed
Summary
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This study investigated arthroscopic staples for shoulder instability, finding 10 of 12 patients pleased with outcomes. While effective for many, two cases failed, highlighting the need for careful patient selection in arthroscopic shoulder stabilization.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Shoulder instability presents a significant clinical challenge.
  • Arthroscopic techniques offer potential for minimally invasive treatment of shoulder instability.

Purpose of the Study:

  • To evaluate the safety and efficacy of arthroscopic staple capsulorrhaphy for shoulder instability.

Main Methods:

  • A cohort of 12 patients (3 female, 9 male; ages 14-40) underwent arthroscopic extra-articular staple placement in the capsule.
  • Follow-up ranged from 31 to 63 months (average 44.8 months).
  • Outcomes were assessed using the Rowe et al. classification system.

Main Results:

  • Ten of twelve patients reported satisfaction with the procedure.

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  • Functional results included six excellent, two good, two fair, and two poor outcomes.
  • No radiographic evidence of degenerative changes or staple migration was observed; two complications and two failures occurred.

    • Conclusions:

    • Arthroscopic staple capsulorrhaphy can be a safe and effective treatment for shoulder instability in select patients.
    • While generally successful, careful patient selection is crucial due to potential for failure.
    • The technique demonstrated no adverse radiographic findings, suggesting good long-term joint health.