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Updated: Jan 20, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Open Shoulder Stabilization for Instability: Anterior Labral Repair With Capsular Shift
Courtney R Carlson Strother1, Richard J McLaughlin1, Aaron J Krych1
1Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Open surgical repair with capsular shift offers a reliable option for specific anterior shoulder instability cases, especially revisions. This technique provides excellent control and stability without significant bone loss.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Anterior shoulder instability is common.
- Arthroscopic fixation is the usual treatment.
- Open repair may be better for select patients and revision cases.
Purpose of the Study:
- To describe an open surgical technique for anterior shoulder instability.
- To highlight the benefits of capsular shift in revision cases.
Main Methods:
- Open surgical approach via the deltopectoral interval.
- Dissection of subscapularis from anterior capsule.
- Bankart lesion repair.
- Lateral and superior capsular shift using all-suture anchors in the humeral head.
Main Results:
- Meticulous control of anchor placement.
- Enhanced shoulder stability through capsular shift.
- Reliable, efficient, and reproducible surgical procedure.
Conclusions:
- Open labral repair with capsular shift is a viable option for specific anterior shoulder instability patients.
- This technique provides excellent stability and control, particularly in revision surgeries without significant bone loss.
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