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Arthroscopic Inferior Capsular Shift in Multidirectional Shoulder Instability
ESSKA Academy. El Shewy M. May 11, 2018; 218036
Mohamed El Shewy
Mohamed El Shewy
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Abstract
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Objectives: Asses the results of arthroscopic inferior capsular shift (AICS based on the principles of Neer and Foster open technique) in management of multidirectional shoulder instability due to capsular redundancy with or without a labral tear.

Methods: Arthroscopic inferior capsular shift was used to treat 98 patients with multidirectional shoulder instability due to capsular redundancy (confirmed clinically and during arthroscopy). It aims at reducing the size of the redundant inferior capsular pouch and reinforcing the thinned out capsule.

Results: Patients were followed for a minimum of 9 years. All patients had multidirectional instability with redundant capsules. Eighteen patients had an associated labral tear and 7 had an open rotator interval. Three patients suffered from redislocation following a significant trauma. The range of motion preoperatively was 170º in forward elevation, 65º in external rotation and reaching up to T5 in internal rotation. Postoperatively it was 165º in forward elevation, 60º in external rotation and reaching up to T6 in internal rotation. The ASES, Constant and UCLA was significantly improvement postoperatively.

Conclusions: Arthroscopic inferior capsular shift addresses the problem of capsular redundancy present in cases of multidirectional shoulder instability in a manner similar to that of the Neer and Foster's open inferior capsular shift procedure. The overall outcome is good and comparable to those of open capsular shift.

Keywords:
Shoulder Multidirectional Instability Arthroscopic Inferior Capsular Shift
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