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Clin Shoulder Elbow > Volume 10(1); 2007 > Article
Journal of the Korean Shoulder and Elbow Society 2007;10(1):33-41.
DOI: https://doi.org/10.5397/CiSE.2007.10.1.033    Published online June 30, 2007.
Medial Anterior-inferior Capsular Shift in Multidirectional Shoulder Instability
Soo Tai Chung, Jai Hyung Park, Hyoung Soo Kim, Jeong Hyun Yoo, Joo Hak Kim, Jeong Min Ji, Hwan Hee Jo
Department of Orthopaedic Surgery, Myongji Hospital, College of Medicine, Kwandong University, Koyang, Korea. wonnypia@kwandong.ac.kr
내측 전하방 관절낭 이동술을 이용한 다방향 견관절 불안정성의 치료
정수태·박재형*·김형수·유정현·김주학·지정민·조환희
관동대학교 의과대학 명지병원 정형외과학교실
Abstract
Purpose
The purpose of this study was to prove the effectiveness of the open medial (glenoid-based) anteriorinferior capsular shift in patients with multidirectional shoulder instability. Materials and Methods: We reviewed 19 patients treated by medial anterior-inferior capsular shift for multidirectional shoulder instability from March, 1998 to December, 2003. 15 patients of them have experienced recurrent dislocation. 8 patients(42%) showed bilateral laxity and 11 patients(58%) generalized ligamentous laxity, and 2 patients(10.5%) voluntary subluxation. An average follow-up was 24 months (range : 9~32 months).
Results
Pain improved in 18 patients of all. There was an average loss of 10 degree of external rotation, but no limitation of activity of daily living. There was no redislocation and subluxation, but two patients had some apprehension in sports activity. With Rowe score, the result was excellent or good in all patients. There were hematoma and local skin problem in 1 patient, but all had healed up.
Conclusion
Medial anterior-inferior capsular shift in multidirectional shoulder instability provided satisfactory results in pain relief, patient's satisfactions and stability of glenohumeral joint. Though some of them have anterior gleniod deformities and large Hill-Sachs lesions, we could get good stabilities.
Key Words: Medial anterior-inferior capsular shift; Multidirectional shoulder instability


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