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First published on September 12, 2005, doi:10.1177/0363546505278258
This version was published on December 1, 2005
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The American Journal of Sports Medicine 33:1898-1904 (2005)
© 2005 American Orthopaedic Society for Sports Medicine

Thermal Capsulorrhaphy for Isolated Posterior Instability of the Glenohumeral Joint Without Labral Detachment

Leslie J. Bisson, MD*

From Northtowns Orthopaedics, East Amherst, New York

* Address correspondence to Leslie J. Bisson, MD, Northtowns Orthopaedics, PC 8750 Transit Road, East Amherst, NY 14051 (e-mail: klbisson{at}aol.com).

Background: Posterior instability of the glenohumeral joint is uncommon, and a minimally invasive, technically easy method of treatment with consistent results has not been reported.

Hypothesis: Thermal capsulorrhaphy for posterior instability with a period of postoperative immobilization will satisfactorily reestablish shoulder stability.

Study Design: Case series; Level of evidence, 4.

Methods: A total of 15 shoulders (13 patients) with isolated posterior instability without labral detachment were treated with thermal capsulorrhaphy. Eleven shoulders were immobilized for 6 weeks after surgery; 14 shoulders were clinically evaluated at a mean of 36 months (range, 26–53 months) after surgery. Of these patients, 2 (3 shoulders) had declined postoperative immobilization.

Results: Eleven shoulders were rated as excellent or good, and 3 experienced recurrent instability and were considered failures. The 3 failures occurred in 1 of 11 shoulders that were immobilized and 2 of 3 (in the same patient) that were not immobilized postoperatively.

Conclusion: Thermal capsulorrhaphy for posterior instability of the glenohumeral joint, followed by 6 weeks of postoperative immobilization, restored glenohumeral stability in this group of patients.

Key Words: glenohumeral • instability • posterior • thermal • capsulorrhaphy • arthroscopic






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