| Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder in Contact Athletes |
| Young Kyu Kim, Seung Jeong Ba다 |
| Department of Orthopedic Surgery, Gil Medical Center, Gachon Medical College, Inchon, Korea |
| 접촉성 운동선수의 다방성 불안정 견관절의 하관절낭 이동술
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| 김영규, 백승정 |
| 가천의과대학 부속 길병원 정형외과 |
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| Abstract |
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Initial treatment of multidirectional instability of the shoulder would be a thorough
rehabilitation program- lf rehabilitation fails to resolve a patient's symptoms, the most
commonly performed surgical procedure remains the inferior capsular shift. Eleven
patients who had disabling multidirectional instability of the shoulder were managed
with the inferior capsular shift. All of the procedure were performed by means of an
anterior approach and a laterally based capsular shift. All of the patients were the
contact athletes. The purpose of our study was to evaluate the efficacy of the inferior
capsular shift procedure in the contact athletic patients, to review the loss of external
rotation postoperatively and to discuss their return to sports. Mean follow up duration
was 14.5 months(range, 12 to 24). Pain was relieved postoperatively in all cases and
most patients could get stability except one case of recurrent subluxation. The average
loss of external rotation and forward flexion after the operation were 5° and 3° at last
follow up. By the rating scale from American Shoulder and Elbow Society, overall
scores improved from 49 points to 85 points. The results were excellent or good in 9
patients(82%) out of 11 patients. In reference to return to sports, 10 patients(91%) of 11
patients returned to their sports with 7 patients (64%) returning at the same levels of
competitiveness. The inferior capsular shift procedure was considered to be a
recommendable method for the management of the multidirectional instability of the
shoulder. |
| Key Words:
Shoulder, Multidirectional instability, Athletes, Inferior capsular shift,
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