Volumetric change in the shoulder capsule after open inferior capsular shift versus arthroscopic thermal capsular shrinkage: a cadaveric model

Luke, Timothy; Rovner, Aron D; Karas, Spero G.; Hawkins, Richard J.; Plancher, Kevin D.

doi:10.1016/j.jse.2003.11.008

Cited by 46 publications

(40 citation statements)

References 24 publications

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“…Their volume reduction potential has been evaluated in cadavers. Open procedures can reduce the volume by 46-66 % [12,[14][15][16][17]. Arthroscopic techniques have been found to have less potential for decreasing the volume-by 16-19 % [13,15,21].…”

Section: Discussionmentioning

confidence: 99%

“…To our best knowledge there has been no report on volume reduction effect in the clinical in vivo scenario in arthroscopic stabilization techniques apart from our technical report on arthroscopic capsular shift [22]. Such evaluation would provide proper knowledge of how the surgical techniques affect the joint biomechanics and the anatomy of the glenohumeral joint [12][13][14][15][16][17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 94%

“…Capsular shift is intended to decrease volume, thus constraining the joint. The potential to reduce the joint volume has been studied before on a cadaveric shoulder model [12][13][14][15][16][17][18][19][20][21], showing that open techniques allow for higher volume reduction (40-50 %) than arthroscopic techniques (30-40 %). However, a cadaveric shoulder may not reflect a life scenario of the unstable shoulder in a much younger population and different joint capacity despite the fact that various modifications of arthroscopic techniques have been published to make either capsular shift or plication.…”

Section: Introductionmentioning

confidence: 99%

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Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift

Lubiatowski

Długosz

Ślęzak

et al. 2016

International Orthopaedics (SICOT)

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Purpose The evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift). Methods Material was based on 133 patients: anterior shoulder instability without laxity (group I, n = 49), with laxity (group II, n = 22) and subacromial impingement (control group, n = 62) operated in 2010-2011. Group I received arthroscopic Bankart repair, group; II -arthroscopic anterior capsular plication, control group -subacromial decompression. Joint volume was measured by fluid aspiration into the syringe via arthroscope, before and after procedure. Then volume reduction potential was calculated. Results The following average values of initial joint volume were recorded: group I -26.8 ml group II -43.7 ml and the control group -25.6 ml with significant differences: impingement vs. instability + laxity (p < 0.00001), impingement vs. instability without laxity (p = 0.0001). There was no significant difference between groups I and II. Joint volume was significantly reduced after labral repair (by average of 37 %, 13.8 ml, p < 0.0001). Capsular shift led to an even greater and more significant volume decrease (61 %, 26.7 ml, p < 0.001). Joint volume in the control group was reduced only by 11 %, 3.8 ml (p = 0.046).Conclusions Patients with unstable shoulders have enlarged joint volume as compared to patients with subacromial impingement. Arthroscopic techniques lead to a significant joint volume reduction, with the most powerful effect for capsular shift. Level of Evidence -Level 2.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift

Lubiatowski

Długosz

Ślęzak

et al. 2016

International Orthopaedics (SICOT)

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“…[34][35][36][37][38][39] Daha sonraki dönemlerde bu büzüş-türme radyofrekans cihazları kullanılarak yapılmıştır. Ancak halen uzun dönemli, kontrollü ve karşılaştırmalı güvenilir çalışmaların olmaması, bu yöntemi tartışma-lı hale getirmektedir.…”

Section: Termal Büzüştürmeunclassified

“…[30][31][32][33][34] Bu daraltma işlemi, Bankart ve SLAP lezyonlar varlığında lezyonların tamiriyle kombine edilirken, lezyon yokluğunda tek başlarına uygulanabilir. Kapsüler daraltma tekniğinde, sitür plikasyon kullanılabildiği gibi, seğişik tipte çapalar da kullanılabilir.…”

Section: Kapsüler Daraltmaunclassified

Çok yönlü omuz instabiliteleri

Yanmis¹

2013

TOTBID

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lezyonlarla ilişkili olmadığı ve rehabilitasyon yapılarak tedavi edilebilecekleri öngörülmekteydi. Artroskopinin gelişmesi sonrası bu tip instabilitelerde de eklem içinde lezyonlar saptanması, bu sınıflamanın yetersiz olduğu görüşünü kuvvetlendirmiştir. Patolojileri tanımlamak-ta yetersiz kalsa da bu sınıflama, klinik kullanım kolaylığından dolayı, uzun yıllar popülerliğini korumuştur.Artoskopinin yaygınlaşmasına paralel olarak 2000'li yıllarda, instabilitenin nedeni, yönü, çıkık sayısı gibi birçok parametreyi esas alan yeni sınıflamalar yapıl-mıştır. Gerçekten bu sınıflamalar, omuz instabilitelerinin ayrıntılarıyla tanımlanması açısından çok beğeni toplamıştır. Ancak bu sınıflamaların, instabiliteyi çok iyi tanımlamış olmalarına karşın, tedavide yol gösteri-cilikleri halen yeterli değildir. TARİHÇETravmatik omuz çıkıkları, Mısır ve Yunan tıbbında çok iyi bilinen en eski omuz sorunlarıdır. Ancak çok yönlü instabilite (ÇYİ) 1980 yılında Neer ve Foster [1] tarafın-dan tanımlanmıştır. Bankart ve Perthes, instabil omuzdaki lezyonları 20. Yüzyıl başında tanımlamışlardır. Uzun yıllar instabilite bu lezyonlar ile ilişkilendirilerek tarif edilmiştir. ÇYİ'den sorumlu tutulan eklem kapsülü gevşekliği ise, 1980 yılında bir patoloji olarak omuz instabilitesi nedeni olarak kabul edilmeye başlanmıştır. [2,3] Omuz instabilitesinin sınıflamasında çok uzun yıl-lar Matsen ve arkadaşlarının TUBS ve AMBRI olarak kodladıkları sistem kabul edilmiştir. AMBRI temelde çok yönlü instabiliteyi işaret eder. Travma olmaksı-zın geliştiği kabul edilen bu tip instabilitenin eklem içi Multidirectional instability of the shoulder is a complex problem because of intra articular and extra articular pathologies. This condition of the shoulder can be a difficult diagnostic and therapeutic dilemma for the shoulder surgeons. The exact diagnosis can be achieved with patient's history and special physical examinations. Multiple factors need to be considered before the treatment of multidirectional instability is instituted, including the age, activity level, bone and soft-tissue pathologies, degree, direction, frequency, and etiology of instability. Treatment options can be physical therapy, arthroscopic or open surgery. Operative treatment is indicated when effective non-operative treatment has failed. Arthroscopic capsulolabroplasty is a reliable procedure, which not only provides capsular plication, but also detects and treats other intraarticular pathologies of the instable shoulder such as Superior Labrum Anterior Posterior and posterior labral tear. In this article, we discuss the clinical problems of treatment and the efficiency of several surgical techniques in multidirectional instability of shoulder. Çok yönlü omuz instabiliteleri

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Midcarpal Instability

Overman,

Goldfarb

2024

Carpal Instability

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Volumetric change in the shoulder capsule after open inferior capsular shift versus arthroscopic thermal capsular shrinkage: a cadaveric model

Cited by 46 publications

References 24 publications

Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift

Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift

Çok yönlü omuz instabiliteleri

Midcarpal Instability

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