Document Detail


Glenohumeral joint volume reduction with progressive release and shifting of the inferior shoulder capsule.
MedLine Citation:
PMID:  17931899     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The inferior capsular shift procedure described by Neer is an effective treatment for multidirectional shoulder instability. To determine the amount of volume reduction that occurs with the inferior capsular shift procedure, 13 cadaver shoulders were dissected down to the capsule. A viscous liquid was injected into each shoulder and the baseline volume recorded. A humeral-based capsular release to the 8 o'clock position (right shoulder) was performed, the capsule was shifted, and the volume was recorded. The capsule was released further to the 6 o'clock position and then to the 4 o'clock position. The mean shoulder volume significantly dropped after each successive shift. From baseline, the volume decreased 33% after the first shift, 42% after the second, and 66% after the third. Progressive release of the capsule results in significantly more volume reduction owing to greater elimination of the inferior axillary pouch. A more complete glenohumeral capsular release may be necessary in certain clinical situations.
Authors:
J Michael Wiater; Brady T Vibert
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-10-10
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  16     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  810-4     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, MI, USA. jmwiater@aol.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Humans
Joint Capsule / pathology*,  surgery
Joint Instability / surgery*
Male
Middle Aged
Shoulder Joint / pathology*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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