Traumatic Anterior Instability: Failed Repairs and Complicated Problems

Kim, Young-Kyu

doi:10.5397/cise.2007.10.1.001

Cited by 1 publication

(1 citation statement)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And the incidence of recurrence despite reparative surgery has been shown to be around 10%. 4,5) Shoulder instability has been shown to result by means of a large spectrum of pathological conditions such as labral deficiency, capsular elongation, patulousness of the shoulder capsule, ligament injury, bony defi-ciencies, and etc. [6][7][8] In 1962 Moseley 9) introduced a classification system based on the mode of capsular insertion for categorizing anatomical variations in the capsule that surrounds the glenohumeral joint.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography

Kim¹,

Kim²,

Choi³

et al. 2016

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Background:The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. Methods: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. Results: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. Conclusions: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability. (Clin Shoulder Elbow 2016;19(3):155-162)

show abstract