| Arthroscopic Treatment in Multidirectional Instability of the Shoulder Joint |
| Kwang Jin Rhee, Ki Yong Byun, Sang Bum Kim, Soon Tae Kwon |
| Department of Orthopaedic Surgery, College of Medicine, Chungnam National University |
| 다방향성 불안정 견관절의 관절경을 이용한 치료 |
| 이광진, 변기용, 김상범, 권순태 |
| 충남대학교 의과대학 정형외과학교실 |
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| Abstract |
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Multidirectional instability of the shoulder joint is an unusual entity which is not yet
well understood. Traditionally recommended treatment is non-operative, but recently
arthroscopic treatment has been performed. This is 8 retrospective review of 20 patients
who had multidirectional instability, who had been treated with arthoroscopic capsular
shift(7 cases), and arthroscopic treatment using Ho:YAG laser(13 cases) at Department
of Orthopedic Surgery, Chungnam National University Hospital from July,1988 to
February,1997. Results of this study were as follows:
1. In five patients who were treated with arthroscopic anterior capsular shift only, all
cases had redislocation of the shoulder joint. But there was no redislocation in two
patients who were treated with arthroscopic anterior and posterior capsular shift.
2. In three patients who were treated with laser-assisted capsular shift only, all cases
had redislocation of the .shoulder joint. But there was only one redislocation in ten
patients treated with laser-assisted capsular shrinkage and capsular plication.
Ho:YAG laser has been found to be a safe and efficacious adjunct to many
arthroscopic shoulder procedures. We had satisfactory results by combining a
transglenoid capsular shift with laser-assisted capsular shrinkage, Arthroscopic
laser-assisted capsular shrinkage and capsular plication is a one of recommendable
treatment options in multldirectional instability of the shoulder joints. |
| Key Words:
Multidirectional Instability, Ho:YAG Laser, Capsular Shrinkage, |
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