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 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 Similar articles in PubMed 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 Favorito, P. J. Articles by Carlonas, R. L. Search for Related Content PubMed PubMed Citation Articles by Favorito, P. J. Articles by Carlonas, R. L. Related Collections Dislocations Shoulder Arthroscopy Laser/Radiofrequency energy

Arthroscopic Laser-Assisted Capsular Shift in the Treatment of Patients with Multidirectional Shoulder Instability

Paul J. Favorito, MD^,,, Matthew A. Langenderfer, MD, Angelo J. Colosimo, MD, Robert S. Heidt, Jr., MD and Richelle L. Carlonas, MS

Wellington Orthopaedic and Sports Medicine, University of Cincinnati, Cincinnati, Ohio
Department of Orthopaedic Surgery, Division of Sports Medicine, University of Cincinnati, Cincinnati, Ohio

Presented at the 26th annual meeting of the AOSSM, Sun Valley, Idaho, June, 2000.

Address correspondence and reprint requests to Paul J. Favorito, MD, Wellington Orthopaedic and Sports Medicine, 4440 Glen-Este Withamsville Road, Cincinnati, OH 45245-2123

Background: In recent years, various investigators have begun using lasers in the treatment of shoulder instability.

Hypothesis: Arthroscopic laser-assisted capsular shift is an effective treatment for patients with multidirectional shoulder instability.

Study Design: Retrospective cohort study.

Methods: We retrospectively identified 28 patients (30 shoulders) with multidirectional shoulder instability who were unresponsive to nonoperative management and who had undergone the laser-assisted capsular shift procedure. Twenty-five patients (27 shoulders) with an average follow-up of 28 months were available for review. All patients underwent a physical examination and completed a general questionnaire; the University of California, Los Angeles, shoulder rating scale; the Western Ontario Shoulder Instability Index; and the Short-Form 36 quality of life index.

Results: In 22 shoulders, results of the procedure were considered a success because the patients had no recurrent symptoms and at latest follow-up had required no further operative intervention. In five shoulders, results were considered a failure because of recurrent pain or instability and the need for an open capsular shift procedure. With recurrent instability as a measure of failure, the overall success rate was 81.5%.

Conclusions: Our results with laser-assisted capsular shift are comparable with the results of other open and arthroscopic techniques in relieving pain and returning athletes to their premorbid function.

This article has been cited by other articles:

				T. S. Mologne, M. T. Provencher, K. A. Menzel, T. A. Vachon, and C. B. Dewing Arthroscopic Stabilization in Patients With an Inverted Pear Glenoid: Results in Patients With Bone Loss of the Anterior Glenoid Am. J. Sports Med., August 1, 2007; 35(8): 1276 - 1283. [Abstract] [Full Text] [PDF]

				F. G. Alberta, N. S. ElAttrache, T. Mihata, M. H. McGarry, J. E. Tibone, and T. Q Lee Arthroscopic Anteroinferior Suture Plication Resulting in Decreased Glenohumeral Translation and External Rotation. Study of A Cadaver Model J. Bone Joint Surg. Am., January 1, 2006; 88(1): 179 - 187. [Abstract] [Full Text] [PDF]

				L. J. Bisson Thermal Capsulorrhaphy for Isolated Posterior Instability of the Glenohumeral Joint Without Labral Detachment Am. J. Sports Med., December 1, 2005; 33(12): 1898 - 1904. [Abstract] [Full Text] [PDF]

				M. T. Provencher, S. J. Bell, K. A. Menzel, and T. S. Mologne Arthroscopic Treatment of Posterior Shoulder Instability: Results in 33 Patients Am. J. Sports Med., October 1, 2005; 33(10): 1463 - 1471. [Abstract] [Full Text] [PDF]

				H. B. Park, A. Yokota, H. S. Gill, G. El Rassi, and E. G. McFarland Revision Surgery for Failed Thermal Capsulorrhaphy Am. J. Sports Med., September 1, 2005; 33(9): 1321 - 1326. [Abstract] [Full Text] [PDF]

				B. Marquardt, W. Potzl, K.-A. Witt, and J. Steinbeck A Modified Capsular Shift for Atraumatic Anterior-Inferior Shoulder Instability Am. J. Sports Med., July 1, 2005; 33(7): 1011 - 1015. [Abstract] [Full Text] [PDF]

				S.-H. Kim, K.-C. Noh, J.-S. Park, B.-D. Ryu, and I. Oh Loss of Chondrolabral Containment of the Glenohumeral Joint in Atraumatic Posteroinferior Multidirectional Instability J. Bone Joint Surg. Am., January 1, 2005; 87(1): 92 - 98. [Abstract] [Full Text] [PDF]

				S.-H. Kim, H.-K. Kim, J.-I. Sun, J.-S. Park, and I. Oh Arthroscopic Capsulolabroplasty for Posteroinferior Multidirectional Instability of the Shoulder Am. J. Sports Med., April 1, 2004; 32(3): 594 - 607. [Abstract] [Full Text] [PDF]