Open inferior capsular shift for multidirectional shoulder instability in adolescents with generalized ligamentous hyperlaxity or Ehlers-Danlos syndrome

Journal of Shoulder and Elbow Surgery
Patrick VavkenMininder S Kocher

Abstract

The objective of this study was to assess the outcome of open inferior capsular shift for multidirectional shoulder instability in patients with generalized ligamentous hyperlaxity or Ehlers-Danlos syndrome. Data were obtained for 18 open inferior capsular shift surgeries in 15 adolescent patients with generalized ligamentous hyperlaxity or Ehlers-Danlos syndrome with a mean follow-up of 7.5 years. End points were subjective clinical outcome (pain, stability, satisfaction, return to sport), objective clinical outcome (recurrence, complications), and functional outcome scores (American Shoulder and Elbow Surgeons, 11-item version of the Disabilities of Arm, Shoulder and Hand). Thirteen patients (87%) reported improved pain and stability and were satisfied with the procedure. Nine patients (64%) were able to return to sports. One patient (7%) was dissatisfied with continuous pain and recurrent instability and considered a surgical failure. Seven patients (47%) reported no further episodes of instability. The mean American Shoulder and Elbow Surgeons score at a mean of 7.5 years of follow-up was 88 ± 10 points, and the mean score for the 11-item version of the Disabilities of Arm, Shoulder and Hand was 14 ± 14 points. The manageme...Continue Reading

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Citations

Mar 1, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mark E JacobsonJulie Y Bishop
Nov 5, 2016·Sports Medicine and Arthroscopy Review·Mia SmucnyPaul Saluan
Dec 3, 2016·The Journal of Pediatrics·Courtney M SternCynthia J Stein
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Hayley A SacksDuretti T Fufa
Jul 30, 2020·Journal of Shoulder and Elbow Surgery·Tom J SchoorlJoaquin Sanchez-Sotelo
Apr 4, 2021·Journal of Shoulder and Elbow Surgery·Thomas RogersBradley S Schoch
Dec 1, 2021·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Elizabeth A YonkoCathleen L Raggio

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