Laser-assisted capsulorrhaphy for multidirectional instability of the shoulder.
OBJECTIVE
The purpose of this study was to review the clinical results of laser-assisted capsulorrhaphy performed on 27 shoulders in 26 patients for multidirectional shoulder instability with minimum follow-up of 2 years.


METHODS
Prospective case series.


METHODS
Laser shrinkage was performed on the entire capsule. In patients in whom the rotator interval did not shrink, suture plication of this area was performed. All patients were evaluated with respect to the incidence of recurrent instability, need for reoperation, and ability to return to their previous level of activity or sports participation. In addition, all patients were rated as satisfactory or unsatisfactory using criteria established by Neer.


RESULTS
Twenty-six of 27 shoulders (96%) remained stable and asymptomatic a minimum of 2 years after surgery. Of 14 athletes in the study group, 12 (86%) returned to their previous level of sports participation.


CONCLUSIONS
Our results suggest that laser-assisted capsulorrhaphy is an effective treatment alternative for multidirectional instability.
Lyons
T R
TR
Mississippi Sports Medicine & Orthopaedic Center and the Department of Orthopaedic Surgery, University of Mississippi School of Medicine, Jackson, Mississippi, USA.
Griffith
P L
PL
Savoie
F H
FH
Field
L D
LD
D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012086:Reoperation; D012189:Retrospective Studies; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome