Laser capsulorrhaphy for multidirectional instability of the shoulder: an outcomes study and proposed classification system.
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| Title: | Laser capsulorrhaphy for multidirectional instability of the shoulder: an outcomes study and proposed classification system. |
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| Authors: | Joseph TA (AUTHOR), Williams JS Jr. (AUTHOR), Brems JJ (AUTHOR) |
| Source: | American Journal of Sports Medicine. Jan/Feb2003, Vol. 31 Issue 1, p26-35. 10p. |
| Abstract: | BACKGROUND: Clinical data on the efficacy of laser capsulorrhaphy for the treatment of multidirectional instability of the shoulder are limited. HYPOTHESIS: The diagnosis of multidirectional instability includes a spectrum of pathologic symptoms that warrants subclassification; laser capsulorrhaphy alone is not uniformly effective for all subtypes. STUDY DESIGN: Retrospective review of prospectively collected data. METHODS: Twenty-five shoulders in 21 patients were treated with laser capsulorrhaphy for multidirectional instability. Functional outcomes at a mean duration of 32 months' follow-up (range, 24 to 48 months) were recorded. RESULTS: Instability recurred in 60% of patients with congenital multidirectional instability, 17% of patients with acquired multidirectional instability, and 33% of patients with posttraumatic multidirectional instability (overall recurrence rate, 40%). Generalized ligamentous laxity was a risk factor for recurrence. Patient satisfaction rates were 40%, 83%, and 22% for the congenital, acquired, and posttraumatic subgroups. Reasons for dissatisfaction included recurrent instability, persistent pain, and inability to return to athletic activity at desired capacity. The overall mean postoperative Simple Shoulder Test score was 84%. The mean postoperative numeric rating score for pain was 3.3 (10-point scale). CONCLUSIONS: Laser capsulorrhaphy may be effective for patients with acquired multidirectional instability secondary to repetitive microtrauma but is less predictable in the other subgroups. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Text: Availability: 0 |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 106869266 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Laser capsulorrhaphy for multidirectional instability of the shoulder: an outcomes study and proposed classification system. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Joseph+TA%22">Joseph TA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams+JS+Jr%2E%22">Williams JS Jr.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Brems+JJ%22">Brems JJ</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Sports+Medicine%22">American Journal of Sports Medicine</searchLink>. Jan/Feb2003, Vol. 31 Issue 1, p26-35. 10p. – Name: Abstract Label: Abstract Group: Ab Data: BACKGROUND: Clinical data on the efficacy of laser capsulorrhaphy for the treatment of multidirectional instability of the shoulder are limited. HYPOTHESIS: The diagnosis of multidirectional instability includes a spectrum of pathologic symptoms that warrants subclassification; laser capsulorrhaphy alone is not uniformly effective for all subtypes. STUDY DESIGN: Retrospective review of prospectively collected data. METHODS: Twenty-five shoulders in 21 patients were treated with laser capsulorrhaphy for multidirectional instability. Functional outcomes at a mean duration of 32 months' follow-up (range, 24 to 48 months) were recorded. RESULTS: Instability recurred in 60% of patients with congenital multidirectional instability, 17% of patients with acquired multidirectional instability, and 33% of patients with posttraumatic multidirectional instability (overall recurrence rate, 40%). Generalized ligamentous laxity was a risk factor for recurrence. Patient satisfaction rates were 40%, 83%, and 22% for the congenital, acquired, and posttraumatic subgroups. Reasons for dissatisfaction included recurrent instability, persistent pain, and inability to return to athletic activity at desired capacity. The overall mean postoperative Simple Shoulder Test score was 84%. The mean postoperative numeric rating score for pain was 3.3 (10-point scale). CONCLUSIONS: Laser capsulorrhaphy may be effective for patients with acquired multidirectional instability secondary to repetitive microtrauma but is less predictable in the other subgroups. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=106869266 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/03635465030310011601 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 26 Titles: – TitleFull: Laser capsulorrhaphy for multidirectional instability of the shoulder: an outcomes study and proposed classification system. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Joseph TA – PersonEntity: Name: NameFull: Williams JS Jr. – PersonEntity: Name: NameFull: Brems JJ IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan/Feb2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 03635465 Numbering: – Type: volume Value: 31 – Type: issue Value: 1 Titles: – TitleFull: American Journal of Sports Medicine Type: main |
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