| The capsular imbrication procedure for recurrent anterior instability of the shoulder. | |
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MedLine Citation:
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PMID: 8609116 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred and thirty-eight patients (142 shoulders) who had recurrent anterior instability of the shoulder that was unresponsive to a specific physician-directed rehabilitation program were managed with an anatomical capsular imbrication reconstruction. The procedure included repair of the capsulolabral injury, when present, and reinforcement of the anteroinferior capsular ligaments with an imbrication technique that decreases the over-all capsular volume. The shoulders were divided into two groups: 108 shoulders in which the recurrent instability was related to a defined traumatic episode (Group I) and thirty-four shoulders with no distinct history of trauma (Group II). The anatomical capsular imbrication was the primary procedure in ninety shoulders and was used to treat at least one failed previous reconstruction in fifty-two shoulders. According to the grading system of Rowe et al., 93 per cent (132) of the shoulders had a good or excellent result at an average of five years (range, two or twelve years) after the operation. The results after a previous failed reconstruction were especially encouraging. Of the fifty-two shoulders that had had at least one previous reconstructive procedure, forty had an excellent result, five had a good result, four had a fair result, and three had a poor result. The results of this study suggest that this procedure restores stability while preserving a functional range of motion in patients who have symptomatic recurrent anterior instability of the shoulders, regardless of the etiology. |
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Authors:
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M A Wirth; G Blatter; C A Rockwood |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 78 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1996 Feb |
Date Detail:
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Created Date: 1996-05-28 Completed Date: 1996-05-28 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 246-59 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedics, University of Texas Health Science at San Antonio 78284-7774, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Humans Joint Instability / surgery* Male Middle Aged Orthopedics / methods Patient Satisfaction Range of Motion, Articular Recurrence Shoulder Joint* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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