HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Goldberg, B. J. Articles by Pettrone, F. A. Search for Related Content PubMed Articles by Goldberg, B. J. Articles by Pettrone, F. A.

Arthroscopic transglenoid suture capsulolabral repairs: Preliminary results

Private Practice, Arlington, Virginia

Robert P. Nirschl, MD, MS

Private Practice, Arlington, Virginia

John P. McConnell, MD

Private Practice, Arlington, Virginia

Frank A. Pettrone, MD

Private Practice, Arlington, Virginia

The arthroscopic transglenoid suture technique was performed on 38 shoulders for antenor capsulolabral repair or reconstruction. The primary complaint was instability in 34 shoulders (89%) and pain in 4 shoulders (11 %). In the instability subgroup, 3 (9%) experienced instability in their sleep, 17 (50%) with activities of daily living, and 14 (41 %) with athletic activities.

Arthroscopic examination revealed labral detachment in 35 shoulders (92%) with additional capsular abnor malities noted in 17 (45%). The remaining 3 shoulders (8%) demonstrated capsular laxity and thinning without labral detachment.

Twenty-nine shoulders had complete relief of insta bility. There were no redislocations. Four shoulders (10%) had recurrence of instability. Twenty shoulders (53%) obtained full range of motion, 15 (39%) had minor (<10°) loss of external rotation, 2 (5%) experienced greater (>10°) loss of external rotation, and 1 improved over a restricted preoperative range of motion.

Fifteen of the 20 competitive athletes and 11 of the 15 recreational athletes returned to the same level and same type of athletic activity. Five patients did not resume their preinjury athletics because of unrelated life-style changes; they reported no shoulder problems. Four patients significantly reduced their athletic partic ipation because of postoperative instability or residual pain.

In conclusion, relief of apprehension, reestablishment of shoulder stability and return to athletic activity, in cluding contact and throwing activities, can be achieved safely and effectively in appropriately selected patients.

This article has been cited by other articles:

				K. B. Freedman, A. P. Smith, A. A. Romeo, B. J. Cole, and B. R. Bach Jr Open Bankart Repair Versus Arthroscopic Repair With Transglenoid Sutures or Bioabsorbable Tacks for Recurrent Anterior Instability of the Shoulder: A Meta-analysis Am. J. Sports Med., September 1, 2004; 32(6): 1520 - 1527. [Abstract] [Full Text] [PDF]

				J. D. Hubbell, S. Ahmad, L. S. Bezenoff, J. Fond, and F. A. Pettrone Comparison of Shoulder Stabilization Using Arthroscopic Transglenoid Sutures Versus Open Capsulolabral Repairs: A 5-Year Minimum Follow-up Am. J. Sports Med., April 1, 2004; 32(3): 650 - 654. [Abstract] [Full Text] [PDF]

				B. J. Nelson and R. A. Arciero Arthroscopic Management of Glenohumeral Instability Am. J. Sports Med., July 1, 2000; 28(4): 602 - 614. [Abstract] [Full Text] [PDF]

				T. S. Mologne, M. T. McBride, and J. M. Lapoint Assessment of Failed Arthroscopic Anterior Labral Repairs: Findings at Open Surgery Am. J. Sports Med., December 1, 1997; 25(6): 813 - 817. [Abstract] [PDF]

				T. S. Mologne, J. M. Lapoint, W. D. Morin, J. Zilberfarb, and T. J. O'Brien Arthroscopic Anterior Labral Reconstruction Using a Transglenoid Suture Technique: Results in Active-Duty Military Patients Am. J. Sports Med., June 1, 1996; 24(3): 268 - 274. [Abstract] [PDF]