INFERIOR CAPSULAR SHIFT PROCEDURE FOR ANTERIOR-INFERIOR SHOULDER INSTABILITY IN ATHLETES

被引：216

作者：

BIGLIANI, LU ^{[1
]}

KURZWEIL, PR ^{[1
]}

SCHWARTZBACH, GC ^{[1
]}

WOLFE, IN ^{[1
]}

FLATOW, EL ^{[1
]}

机构：

[1] COLUMBIA PRESBYTERIAN MED CTR,NEW YORK ORTHOPED HOSP,SHOULDER SERV,NEW YORK,NY

来源：

AMERICAN JOURNAL OF SPORTS MEDICINE | 1994年 / 22卷 / 05期

关键词：

D O I：

10.1177/036354659402200502

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Sixty-eight shoulders in 63 athletic patients with anterior-inferior glenohumeral instability underwent an anterior-inferior capsular shift procedure. Shoulders with glenoid fractures, predominantly posterior instability, or routine, unidirectional anterior instability were not included in this study. There were 42 men and 21 women, with an average age of 23 years. Forty-two repairs were performed on the dominant arm. All 31 overhead throwing athletes had their dominant arms repaired. Forty-six shoulders had histories of recurrent anterior dislocations, while 22 shoulders had recurrent subluxation. All 68 shoulders had an anterior-inferior capsular shift, tailored to the degree of laxity found; in addition, 21 had repair of a Bankart lesion. Forty-two patients were rated excellent (67%), 17 good (27%), 2 fair (3%), and 1 poor (3%). Fifty-eight of 63 (92%) patients returned to their major sports, 47 (75%) at the same competitive levels. Only 5 of 10 elite throwing athletes returned to their prior competitive levels. Loss of external rotation averaged 7 degrees. Two patients (2.9%) re-dislocated postoperatively, after violent falls.

引用

页码：578 / 584

页数：7

共 66 条

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