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Journal of the Korean Shoulder and Elbow Society 1998;1(1):40-45.
Published online March 30, 1998.
Arthroscopic Treatment in Multidirectional Instability of the Shoulder Joint
Kwang Jin Rhee, Ki Yong Byun, Sang Bum Kim, Soon Tae Kwon
Department of Orthopaedic Surgery, College of Medicine, Chungnam National University
다방향성 불안정 견관절의 관절경을 이용한 치료
이광진, 변기용, 김상범, 권순태
충남대학교 의과대학 정형외과학교실
Abstract
Multidirectional instability of the shoulder joint is an unusual entity which is not yet well understood. Traditionally recommended treatment is non-operative, but recently arthroscopic treatment has been performed. This is 8 retrospective review of 20 patients who had multidirectional instability, who had been treated with arthoroscopic capsular shift(7 cases), and arthroscopic treatment using Ho:YAG laser(13 cases) at Department of Orthopedic Surgery, Chungnam National University Hospital from July,1988 to February,1997. Results of this study were as follows: 1. In five patients who were treated with arthroscopic anterior capsular shift only, all cases had redislocation of the shoulder joint. But there was no redislocation in two patients who were treated with arthroscopic anterior and posterior capsular shift. 2. In three patients who were treated with laser-assisted capsular shift only, all cases had redislocation of the .shoulder joint. But there was only one redislocation in ten patients treated with laser-assisted capsular shrinkage and capsular plication. Ho:YAG laser has been found to be a safe and efficacious adjunct to many arthroscopic shoulder procedures. We had satisfactory results by combining a transglenoid capsular shift with laser-assisted capsular shrinkage, Arthroscopic laser-assisted capsular shrinkage and capsular plication is a one of recommendable treatment options in multldirectional instability of the shoulder joints.
Key Words: Multidirectional Instability, Ho:YAG Laser, Capsular Shrinkage,


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