Hombro / Shoulder / Schulter: Diagnosticar desde el primer momento la inestabilidad multidireccional atraumática para no meter la pata

Revision Open Capsular Shift for Atraumatic and Multidirectional Instability of the Shoulder

Aaron J. Bois, Michael A. Wirth

J Bone Joint Surg Am, 2012 Apr 18;94(8):748-756

Shoulder stability is critical for proper functioning of the upper extremity and is dependent on the interplay between static and dynamic stabilizers of the glenohumeral joint. Surgical management of patients with atraumatic and multidirectional instability is effective if the capsular redundancy is properly reconstructed to restore glenohumeral joint biomechanics. Residual capsular laxity remains a common cause of recurrent glenohumeral joint dislocation in patients who have had previous stabilization procedures, and surgical results become less predictable in patients who have had multiple revision procedures. This article demonstrates the importance of the detection of capsular laxity at the time of the index surgery and of the use of reliable surgical techniques to obtain optimal results.