An approach to the repair of avulsion of the glenohumeral ligaments in the management of traumatic anterior glenohumeral instability.

1989/04/01 by S C Thomas, Frederick A. Matsen, F A Matsen · 11 citations
Medicine · #Shoulder and Clavicle Injuries #Shoulder Injury and Treatment #Nerve Injury and Rehabilitation

paper · doi:10.2106/00004623-198971040-00005

Abstract

Between 1976 and 1985, we repaired avulsion of the glenohumeral ligaments in sixty-three shoulders (sixty-one patients) that had traumatic anterior glenohumeral instability. We describe the indications for operation, the operative technique, and the findings at the time of operation. We located thirty-seven patients (thirty-nine shoulders) for clinical follow-up (average, 5.49 years). One patient had recurrent anterior dislocation four years postoperatively, but no patient needed reoperation. The average range of motion was 171 degrees of forward elevation and 84 degrees of external rotation in abduction. According to the criteria of Rowe et al., 97 per cent of the results were good or excellent.

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• Arthroscopic Compared with Open Repairs for Recurrent Anterior Shoulder Instability
• Return to Sports After Shoulder Stabilization Surgery for Anterior Shoulder Instability. [europepmc]
• Age-Related Changes of Elastic Fibers in Shoulder Capsule of Patients with Glenohumeral Instability: A Pilot Study. [europepmc]
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• Anterior instability of the glenohumeral joint with humeral avulsion of the glenohumeral ligament
• Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes
• Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment.
• The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*†
• Operative Treatment of Irreparable Rupture of the Subscapularis* **