Arthroscopic Capsular Plication for Shoulder Instability

1999 ◽  
Vol 4 (4) ◽  
pp. 43-44
Author(s):  
Kendra L. Cauldwell
Keyword(s):  
Shoulder Instability ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication

scholarly journals Multidirectional Shoulder Instability: Treatment

2017 ◽  
Vol 11 (1) ◽  
pp. 812-825 ◽  
Author(s):  
Miguel Angel Ruiz Ibán ◽  
Jorge Díaz Heredia ◽  
Miguel García Navlet ◽  
Francisco Serrano ◽  
María Santos Oliete
Keyword(s):  
Physical Therapy ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Shoulder Instability ◽  
Relevant Literature ◽  
Anatomical Variations ◽  
Clear Understanding ◽  
Multidirectional Instability ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication

Background: The treatment of multidirectional instability of the shoulder is complex. The surgeon should have a clear understanding of the role of hiperlaxity, anatomical variations, muscle misbalance and possible traumatic incidents in each patient. Methods: A review of the relevant literature was performed including indexed journals in English and Spanish. The review was focused in both surgical and conservative management of multidirectional shoulder instability. Results: Most patients with multidirectional instability will be best served with a period of conservative management with physical therapy; this should focus in restoring strength and balance of the dynamic stabilizers of the shoulder. The presence of a significant traumatic incident, anatomic alterations and psychological problems are widely considered to be poor prognostic factors for conservative treatment. Patients who do not show a favorable response after 3 months of conservative treatment seem to get no benefit from further physical therapy. When conservative treatment fails, a surgical intervention is warranted. Both open capsular shift and arthroscopic capsular plication are considered to be the treatment of choice in these patients and have similar outcomes. Thermal or laser capsuloraphy is no longer recommended. Conclusion: Multidirectional instability is a complex problem. Conservative management with focus on strengthening and balancing of the dynamic shoulder stabilizers is the first alternative. Some patients will fare poorly and require either open or arthroscopic capsular plication.

Arthroscopic Capsular Plication for Microtraumatic Anterior Shoulder Instability in Overhead Athletes

2012 ◽  
Vol 40 (9) ◽  
pp. 2009-2014 ◽  
Author(s):  
Kristofer J. Jones ◽  
Cynthia A. Kahlenberg ◽  
Christopher C. Dodson ◽  
Denis Nam ◽  
Riley J. Williams ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Overhead Athletes ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication

scholarly journals Arthroscopic Treatment of Shoulder Instability: A Systematic Review of Capsular Plication Versus Thermal Capsulorrhaphy

2015 ◽  
Vol 50 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Kasey Rolfes
Keyword(s):  
Systematic Review ◽  
Shoulder Instability ◽  
Data Extraction ◽  
Postoperative Management ◽  
Activity Level ◽  
Cochrane Library ◽  
Success Rates ◽  
Capsular Plication ◽  
Labral Tears ◽  
Arthroscopic Capsular Plication

Objective: Shoulder instability is a common disorder of the shoulder that can result in debilitating pain and decreased function. Poorly treated cases of instability result in excessive mobility, possibly leading to labral tears and degenerative arthritis. The purpose of my systematic review was to compare the effectiveness of 2 popular arthroscopic techniques used to reduce shoulder instability: capsular plication and thermal capsulorrhaphy. Data Sources: Articles were retrieved from PubMed, Cochrane Library, and Ovid/MEDLINE searches using the terms capsular plication, capsular shift, capsular shrinkage, shoulder capsulorrhaphy, and treatment of shoulder instability. Study Selection: I sought cohort studies, case reviews, and randomized controlled trials published from 2000 through March 2013 that evaluated the outcomes of the 2 surgical procedures, which resulted in a total of 12 studies. Data Extraction: Outcome measures were range of motion, satisfaction, and return to previous activity level. Data Synthesis: The overall success rates of the reviewed studies were 91% for arthroscopic capsular plication and 76.5% for thermal capsulorrhaphy. Conclusions: Arthroscopic capsular plication had a higher rate of success than thermal capsulorrhaphy. However, postoperative management varied more among the thermal capsulorrhaphy studies and was generally less conservative than management involving standardized capsular-plication protocols. Future authors should investigate operative techniques and postoperative management, which may help to improve thermal capsulorrhaphy outcomes.

Development of a Patient-Specific Computer Model of Glenohumeral Capsular Plication and Shoulder Instability

2013 ◽  
Author(s):  
Charlie Yongpravat ◽  
Adriana M. Urruela ◽  
William N. Levine ◽  
Louis U. Bigliani ◽  
Thomas R. Gardner ◽  
...  
Keyword(s):  
Computer Model ◽  
Shoulder Instability ◽  
Glenohumeral Joint ◽  
Joint Laxity ◽  
Patient Specific ◽  
Major Contributor ◽  
Capsular Plication ◽  
Glenohumeral Ligaments ◽  
Shoulder Kinematics ◽  
The Ideal

Shoulder dislocations occur when the humeral head translates over the edge of the glenoid socket of the scapula, permanently stretching the capsular ligaments. This injury of the capsular tissue results in pathological joint laxity which is a major contributor to recurrent dislocations and is a key feature of shoulder instability. The ideal surgical parameters to correct this pathology have yet to be established due to a lack of understanding of how shoulder kinematics and capsular mechanics are affected by different surgical procedures. To address this knowledge gap, we developed patient-specific computer models of the shoulder which include anatomically accurate models of the capsule. The purpose of this study was to simulate capsular plication of the glenohumeral ligaments and to evaluate the effect different degrees of plication had on glenohumeral joint laxity and rotation.

scholarly journals Medial Posterior Capsular Plication Reduces Anterior Shoulder Instability Similar to Remplissage without Restricting Motion in the Setting of an Engaging Hill Sachs Defect

2017 ◽  
Vol 5 (7_suppl6) ◽  
pp. 2325967117S0025
Author(s):  
Brian C. Werner ◽  
Xiang Chen ◽  
Christopher L. Camp ◽  
Andreas Kontaxis ◽  
Joshua S. Dines ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Capsular Plication

Arthroscopic Capsular Plication and Labral Preservation in Borderline Hip Dysplasia

2013 ◽  
Vol 41 (11) ◽  
pp. 2591-2598 ◽  
Author(s):  
Benjamin G. Domb ◽  
Christine E. Stake ◽  
Dror Lindner ◽  
Youssef El-Bitar ◽  
Timothy J. Jackson
Keyword(s):  
Hip Dysplasia ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication
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