The Rotator Interval of the Shoulder: Implications in the Treatment of Shoulder Instability

Orthopaedic Journal of Sports Medicine
Rachel M FrankMatthew T Provencher

Abstract

Biomechanical studies have shown that repair or plication of rotator interval (RI) ligamentous and capsular structures decreases glenohumeral joint laxity in various directions. Clinical outcomes studies have reported successful outcomes after repair or plication of these structures in patients undergoing shoulder stabilization procedures. Recent studies describing arthroscopic techniques to address these structures have intensified the debate over the potential benefit of these procedures as well as highlighted the differences between open and arthroscopic RI procedures. The purposes of this study were to review the structures of the RI and their contribution to shoulder instability, to discuss the biomechanical and clinical effects of repair or plication of rotator interval structures, and to describe the various surgical techniques used for these procedures and outcomes.

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Citations

Sep 7, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·James H LubowitzMatthew T Provencher
Apr 1, 2017·World Journal of Orthopedics·Brian R WatermanJosef K Eichinger
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Jan 12, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Lauren H Redler, Elizabeth R Dennis
Apr 2, 2019·EFORT Open Reviews·Gazi HuriNickolas Garbis

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