title: Open anterior repair without routine capsulorraphy for traumatic anterior shoulder instability in a community setting.
abstract: Anterior shoulder instability repairs often are performed but rarely reported in community practices. This study assessed outcomes after open anterior repairs without routine capsulorraphy by a community surgeon. Repairs were performed in 64 consecutive shoulders; patient self-assessment questionnaires were mailed to all patients after a minimum follow-up of 2 years. Eighty-three percent reported excellent or good modified Rowe scores at mean follow-up of 5 years. Patients who reported 100% elevation had better outcomes than those who did not report 100% elevation, whereas patients who reported 100% external or internal rotation had comparable outcomes to patients who did not report 100% rotation. Open anterior repair without routine capsulorraphy yielded good outcomes in this community setting.
authors.affiliation: Department of Orthopedic Surgery and Rehabilitation, University of Nebraska Medical Center, Omaha, NE 68198-1080, USA.
authors.forename: Edward V
authors.initials: EV
authors.lastname: Fehringer
authors.forename: David C
authors.initials: DC
authors.lastname: Buck
authors.forename: Susan E
authors.initials: SE
authors.lastname: Puumala
authors.forename: David J
authors.initials: DJ
authors.lastname: Clare
authors.forename: Patrick E
authors.initials: PE
authors.lastname: Clare
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000601:surgery*; D008297:Male; D017060:Patient Satisfaction; D020127:Recovery of Function; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery*