Posterior Labral Repair With Capsular Plication Shows Enduring Mid-Term Outcomes and Return to Sports With Low...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Instability Research

Background:

• Posterior shoulder instability can significantly impact function and quality of life.
• Arthroscopic repair aims to address labral tears and capsular laxity in the posterior shoulder.

Purpose of the Study:

• To evaluate the mid-term clinical outcomes of arthroscopic posterior labral repair and capsular plication.
• To assess recurrence rates and return to sports after this procedure.

Main Methods:

• Retrospective review of 47 patients with posterior shoulder instability undergoing arthroscopic posterior labral repair and capsular plication.
• Minimum 8-year follow-up, assessing Rowe, ASES, and SANE scores, recurrence, complications, and return to sports.
• Analysis of minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) achievement.

Main Results:

• Significant improvements in Rowe, ASES, and SANE scores at a mean follow-up of 10.2 years.
• High achievement rates for MCID (85.1%-100%) and PASS (66%-83%).
• Low recurrence rate (6.4%), with 91.5% returning to sports, 78.7% at their pre-injury level.

Conclusions:

• Arthroscopic posterior labral repair and capsular plication demonstrate favorable mid-term effectiveness for posterior shoulder instability.
• The procedure leads to significant functional gains, high patient satisfaction, and a low recurrence rate.
• Successful return to sports is common, supporting the procedure's efficacy for active individuals.