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The American Journal of Sports Medicine 20:193-198 (1992)
© 1992 SAGE Publications

Multidirectional shoulder instability

Clinical results of inferior capsular shift in an active-duty population

Randi D. Lebar, LCDR, MC, USNR

Department of Orthopaedic Surgery, Naval Hospital, Oakland, California

A. Herbert Alexander, CAPT, MC, USN

Department of Orthopaedic Surgery, Naval Hospital, Oakland, California

We reviewed the results of a capsular shift procedure performed on 10 active-duty patients with an average of 28 months followup. improvement in pain, function, and stability occurred postoperatively in nearly all pa tients. Loss of total elevation and external rotation were minimal and an average of three spinal segments of internal rotation were lost. Only one patient required further surgery for recurrent instability and all patients except two reported over-all improvement. Dominant shoulders made greater improvements in pain, stability, and functional capacity than nondominant shoulders. Patients with generalized ligamentous laxity had less pain and more posterior instability than those without laxity. A history of an acute traumatic event was pre dictive of greater improvement in pain and stability. A previous instability repair was indicative of the most postoperative instability and least functional improve ment.




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