Open capsular shift: there still is a role!
As our understanding of the pathoanatomy of glenohumeral instability has improved, surgical techniques for the treatment of anterior instability have progressed. Many stabilization procedures are now successfully performed arthroscopically; open capsular shift, however, continues to play an important role in the management of instability in certain patients, providing an accurate and selective means of capsular plication. When performed with proper surgical technique, shoulder range of motion can be preserved with low recurrence rates and high subjective satisfaction, making the open capsular shift a durable and effective option in the modern management of shoulder instability.
Boselli
Karen J
KJ
Center for Shoulder, Elbow and Sports Medicine, Department of Orthopaedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH 11, New York, NY 10032, USA.
Cody
Elizabeth A
EA
Bigliani
Louis U
LU
D001182:Arthroscopy; D006801:Humans; D017746:Joint Capsule / Q000601:surgery*; D007593:Joint Instability / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D018579:Patient Selection; D016059:Range of Motion, Articular; D012785:Shoulder Joint; D013536:Suture Techniques