Background: There are few reports in the literature detailing the arthroscopic treatment of unidirectional posterior shoulder instability. Hypothesis: Arthroscopic capsulolabral reconstruction is effective in restoring stability and function and alleviating pain in athletes with symptomatic unidirectional posterior instability. Study Design: Cohort study; Level of evidence, 2. Methods: One hundred eighty-three athletes (200 shoulders) with unidirectional recurrent posterior shoulder instability were treated with arthroscopic posterior capsulolabral reconstruction and underwent an evaluation at a mean of 36 months postoperatively. A subset of 117 shoulders of contact athletes was compared with the entire group of 200 shoulders. Patients were evaluated prospectively with the American Shoulder and Elbow Surgeons (ASES) scoring system. Stability, strength, and range of motion were evaluated preoperatively and postoperatively with standardized subjective scales. Methods of intraoperative soft tissue fixation as well as anchorless (n = 44) and anchored (n = 156) plications were recorded for each patient. Results: At a mean of 36 months postoperatively, the mean ASES score improved from 45.9 to 85.1 (P < .001). There were also significant improvements in stability, pain, and function based on previously used scales (P < .001). The contact athletes did not demonstrate any significant differences when compared with the entire cohort for any outcome measure. With regard to the method of internal fixation, patients who underwent capsulolabral plications with suture-anchors showed significantly greater improvement in ASES scores (P < .001) and a higher rate of return to play (P < .05) when compared with patients with anchorless capsulolabral plications. Conclusion: Arthroscopic capsulolabral reconstruction is an effective, reliable treatment for symptomatic, unidirectional recurrent posterior glenohumeral instability in an athletic population. Overall, 90% of patients were able to return to sport, with 64% of patients able to return to the same level postoperatively. With the incorporation of bone suture-anchors in capsulolabral reconstruction, patients had greater improvements in ASES scores and a higher rate of return to play.

Arthroscopic Capsulolabral Reconstruction for Posterior Instability of the Shoulder: A Prospective Study Of 200 Shoulders

Schulterinstabilitaten betreffen ungefahr 2 % der Allgemeinbevolkerung. Unter den am haufigsten betroffenen Menschen finden sich oft junge, sportlich aktive Menschen. Vor allem Uberkopfsportarten wie Tennis, Gewichtheben, Volleyball oder Wurfsportarten pradisponieren fur die Entwicklung einer dorsalen Instabilitat. Manner sind 3-mal haufiger betroffen als Frauen. Diese Ubersichtsarbeit richtet den Fokus auf die Diagnosestellung und Therapie der dorsalen Instabilitat. Mittels der Suchmaschine http://www.ncbi.nlm.nih.gov
 wurden unter den Begriffen „shoulder“, „posterior“ und „instability“ Ubersichtsarbeiten und rezenten Studien uber die dorsale Instabilitat des Schultergelenks ermittelt. Mit einer Pravalenz von 2–10 % aller Schulterinstabilitaten wird die posteriore Schulterinstabilitat oft ubersehen und aus diesem Grund falsch behandelt. In der letzten Zeit wird sie jedoch in der Literatur haufiger beschrieben, mit steigender Pravalenz. Die Ursache sind meist nicht erinnerliche Mikrotraumata. Haufig steht der Schmerz bei bestimmten Bewegungen im Vordergrund, die Instabilitat wird nur als sekundares Symptom wahrgenommen. Bei geringen oder fehlenden knochernen Defekten bietet die arthroskopische posteriore Labrumrefixation exzellente Ergebnisse. Fur knocherne Operationen ist v. a. das Defektausmas der reversen Hill-Sachs-Lasion von Bedeutung.

Dorsale Instabilität des Schultergelenks

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

Lukas Bauer

Author Tools

Chat about Author

Papers

Dorsale Instabilität des Schultergelenks