35 shoulders in 34 patients were treated with a superior shift of the posteroinferior aspect of the capsule because of recurrent posterior glenohumeral subluxation and dislocation. The physical examination revealed 3 types of posterior instability in these patients preoperatively: unidirectional (6 shoulders), bidirectional (posterior and inferior) (7 shoulders), and multidirectional (posterior and inferior dislocation with anterior subluxation) (22 shoulders). 11 shoulders had had previous operative procedures. At the time of the index operation, the most common abnormal findings in these shoulders were capsular redundancy and excessive volume of the glenohumeral joint. Complete detachment of the posterior aspect of the labrum was found in only 4 shoulders. There was no excessive glenoid retroversion in these patients. All 34 patients were available for follow-up at an average of 5 years (range, 2 to 12 and a half years) postoperatively. Over-all, the result for 17 of the 35 shoulders was rated as excellent; 11, as good; one, as fair; and 6, as poor. 4 shoulders became unstable again. 6 of the 7 unsatisfactory results were in shoulders that had had previous attempts at stabilization. A successful result was achieved in 23 of the 24 shoulders in which the superior shift of the posteroinferior aspect of the capsule was the initial repair.
Copyright remains with the authors and publisher.
35 shoulders in 34 patients were treated with a superior shift of the posteroinferior aspect of the capsule because of recurrent posterior glenohumeral subluxation and dislocation. The physical examination revealed 3 types of posterior instability in these patients preoperatively: unidirectional (6 shoulders), bidirectional (posterior and inferior) (7 shoulders), and multidirectional (posterior and inferior dislocation with anterior subluxation) (22 shoulders). 11 shoulders had had previous operative procedures. At the time of the index operation, the most common abnormal findings in these shoulders were capsular redundancy and excessive volume of the glenohumeral joint. Complete detachment of the posterior aspect of the labrum was found in only 4 shoulders. There was no excessive glenoid retroversion in these patients. All 34 patients were available for follow-up at an average of 5 years (range, 2 to 12 and a half years) postoperatively. Over-all, the result for 17 of the 35 shoulders was rated as excellent; 11, as good; one, as fair; and 6, as poor. 4 shoulders became unstable again. 6 of the 7 unsatisfactory results were in shoulders that had had previous attempts at stabilization. A successful result was achieved in 23 of the 24 shoulders in which the superior shift of the posteroinferior aspect of the capsule was the initial repair.
Copyright remains with the authors and publisher.