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Journal of the Korean Shoulder and Elbow Society 2000;3(2):79-86.
Published online December 30, 2000.
Treatment of Multidirectional Instability of the Shoulder with Inferior Capsular Shift
Byoung Chang Lee, M.D., Churl Hong Chun, M.D. and Seong Kyu Park, M.D.
Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea
하방 관절낭 이동술을 이용한 다방향 견관절 불안정의 치료
이병창, 전철홍, 박성규
원광대학교 의과대학 정형외과학교실
Abstract
peration in multidirectional instability of the shoulder joint in terms of functional aspects and patient’s satisfaction Materials and Methods : From July, 1998 to March, 2000, we treated 23 cases of multidirectional instability of the shoulder joint with T-shaped inferior capsular shift and/or Bankart repair. All of them have complained of an experience about frank dislocations. Two of them has a voluntary component. We evaluated them according to complication, function, range of motion, stability and patient’s satisfaction with an average follow-up of 15 months(the range of 9 to 27 months). Results : Eight cases were atraumatic multidirectional instability and coexisting Bankart lesion were present in 15. There was no redislocation, but one case of symptomatic subluxation, 3 cases of transient nerve palsy and 2 cases of feeling of laxity developed. Limitation of motion after surgery was an average of 3.4° in flexion, and 8.5° in external rotation. With Rowe scoring system, the clinical result was excellent or good in 22 cases and poor in one. According to American shoulder and elbow society, pain score improved to 1.4 from 6.1, and stability score also improved to 1.8 from 9.1. Conclusion : In multidirectional shoulder instability, one should pay attention to finding a coexisting Bankart lesion. In that case, adequate capsular volume reduction by using inferior capsular shift as well as repair of Bankart lesion is needed to get a good surgical outcome.
Key Words: Shoulder joint, Multidirectional instability, Inferior capsular shift


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