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Arthroscopic capsular plication for posterior shoulder instability

E M Wolf1, C L Eakin

  • 1California Pacific Medical Center, San Francisco, USA.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|April 8, 1998
PubMed
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Posterior capsular plication surgery effectively treats recurrent posterior shoulder instability. Most patients experienced excellent outcomes, with a high return to athletic function and overall satisfaction.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Biomechanics

Background:

  • Recurrent posterior shoulder instability is a debilitating condition.
  • Posterior capsular laxity is often the primary pathology.
  • Labral pathology can coexist with capsular laxity.

Purpose of the Study:

  • To evaluate the efficacy of posterior capsular plication for recurrent posterior shoulder instability.
  • To assess patient outcomes including pain, strength, function, and satisfaction.
  • To determine the rate of recurrence and complications following the procedure.

Main Methods:

  • A retrospective review of 17 patients undergoing posterior capsular plication (1990-1992).
  • Minimum 2-year follow-up for 14 patients (average 33 months).

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  • Assessment included pain, strength, function, stability, range-of-motion, and patient satisfaction.

    • Main Results:

    • 12 patients achieved excellent results, and 2 had fair results.
    • 90% of athletic patients returned to their preinjury level of sport.
    • One recurrence was successfully treated with revision surgery; no other complications were noted.

    Conclusions:

    • Posterior capsular plication is a promising surgical technique for recurrent posterior shoulder instability.
    • The procedure demonstrates high patient satisfaction and a low complication rate.
    • Restoration of function, particularly in athletes, is a significant outcome.