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The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*† by MICHAEL A. WIRTH, GEORGE BLATTER, and CHARLES A. ROCKWOOD J.

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Presentation on theme: "The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*† by MICHAEL A. WIRTH, GEORGE BLATTER, and CHARLES A. ROCKWOOD J."— Presentation transcript:

1 The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*† by MICHAEL A. WIRTH, GEORGE BLATTER, and CHARLES A. ROCKWOOD J Bone Joint Surg Am Volume 78(2):246-60 February 1, 1996 ©1996 by The Journal of Bone and Joint Surgery, Inc.

2 Figs. 1 through 9: Illustrations demonstrating the operative technique. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

3 Axial view, demonstrating the intended plane of dissection for reflection of the medial and lateral portions of the subscapularis tendon. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

4 The inferior aspect of the capsule is exposed, and the axillary nerve is protected. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

5 The anterior aspect of the glenoid is decorticated. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

6 Non-absorbable sutures are passed through the drill-holes for subsequent repair of the Perthes- Bankart lesion. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

7 The medial aspect of the capsule is pulled taut in a lateral direction, and the suture is passed through the capsule. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

8 Any superior capsular defect is closed, followed by superolateral shift of the medial capsular leaflet. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

9 Figs. 8-A and 8-B: The lateral capsular leaflet is shifted superomedially, which double-breasts the anterior aspect of the capsule. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

10 Figs. 8-A and 8-B: The lateral capsular leaflet is shifted superomedially, which double-breasts the anterior aspect of the capsule. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

11 The subscapularis tendon is reapproximated. MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60 ©1996 by The Journal of Bone and Joint Surgery, Inc.

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