Arthroscopic stabilization techniques continue to evolve. Our goals include a near-anatomic
reconstruction of the shoulder, maintainance of maximum range of motion, return to
physical activities with minimum chance of recurrence or complications, and reduction
of morbidity. New procedures continue to be challenging, but new techniques are allowing
us to approach our goal. Early arthroscopic techniques emphasized capsule transfer,
but transglenoid fixation was inadequate. Attempts at easier techniques included use
of glenoid tacs and thermal reduction of capsular volume. Both techniques have had
increased failure rates as a result of inadequate postoperative stabilization. The
suture anchor technique currently used approaches the time-tested open repair technique.
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References
- Shoulder stabilization and evolving trends in arthroscopic repair.Sports Med Arthrosc Review. 1999; 7: 104-116
- The anatomy and histology of the rotator interval capsule of the shoulder.Clin Orthop. 2001; 390: 129-137
- The role of the rotator interval capsule in passive motion and stability of the shoulder.J Bone Joint Surg Am. 1992; 74: 53-66
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© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
