Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes
Although the most common surgical treatment for traumatic anterior shoulder instability is arthroscopic Bankart repair (ABR), which has shown good postoperative results, a potential risk of postoperative external rotation deficit exists. For overhead-throwing athletes, recovery of postoperative rang...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724001865 |
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| author | Yasuhiro Mitsui, M.D., Ph.D. Tadanao Funakoshi, M.D., Ph.D. Koji Hara, M.D., Ph.D. Kazuto Higuchi, P.T. Azusa Miyamoto, M.S., Ph.D. Hidehiro Nakamura, M.D., Ph.D. Masafumi Gotoh, M.D., Ph.D. |
| author_facet | Yasuhiro Mitsui, M.D., Ph.D. Tadanao Funakoshi, M.D., Ph.D. Koji Hara, M.D., Ph.D. Kazuto Higuchi, P.T. Azusa Miyamoto, M.S., Ph.D. Hidehiro Nakamura, M.D., Ph.D. Masafumi Gotoh, M.D., Ph.D. |
| author_sort | Yasuhiro Mitsui, M.D., Ph.D. |
| collection | DOAJ |
| description | Although the most common surgical treatment for traumatic anterior shoulder instability is arthroscopic Bankart repair (ABR), which has shown good postoperative results, a potential risk of postoperative external rotation deficit exists. For overhead-throwing athletes, recovery of postoperative range of motion during abduction and external rotation is essential to return to preinjury performance levels. We consider that the key to returning to play after ABR on the dominant side in overhead-throwing athletes is to simultaneously gain anterior stability and mobility of the shoulder. However, no gold standard method for determining the appropriate tension of the glenohumeral capsular ligaments in overhead-throwing athletes exists. This Technical Note presents the dynamic anterior glenohumeral capsular ligament tensioning in the abduction and external rotation positions during ABR for the dominant side in overhead-throwing athletes. We consider this surgical technique to be reliable for traumatic anterior instability of the dominant shoulder in athletes who wish to return to overhead-throwing sports. |
| format | Article |
| id | doaj-art-d3e432e4105243b9b83031dd8f1908dc |
| institution | OA Journals |
| issn | 2212-6287 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-d3e432e4105243b9b83031dd8f1908dc2025-08-20T01:50:45ZengElsevierArthroscopy Techniques2212-62872024-10-01131010306910.1016/j.eats.2024.103069Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing AthletesYasuhiro Mitsui, M.D., Ph.D.0Tadanao Funakoshi, M.D., Ph.D.1Koji Hara, M.D., Ph.D.2Kazuto Higuchi, P.T.3Azusa Miyamoto, M.S., Ph.D.4Hidehiro Nakamura, M.D., Ph.D.5Masafumi Gotoh, M.D., Ph.D.6Hyakutake Orthopaedic Hospital, Saga, Japan; Address correspondence to Yasuhiro Mitsui, M.D., Ph.D., Hyakutake Orthopaedic Hospital, 2-13 Mizugae-machi, Saga, Saga 840-0054, Japan.Keiyu Orthopaedic Hospital, Gumma, JapanHyakutake Orthopaedic Hospital, Saga, JapanHyakutake Orthopaedic Hospital, Saga, JapanKeiyu Orthopaedic Hospital, Gumma, JapanDepartment of Orthopaedic Surgery, Kurume University Medical Center, Fukuoka, JapanDepartment of Orthopaedic Surgery, Kurume University Medical Center, Fukuoka, JapanAlthough the most common surgical treatment for traumatic anterior shoulder instability is arthroscopic Bankart repair (ABR), which has shown good postoperative results, a potential risk of postoperative external rotation deficit exists. For overhead-throwing athletes, recovery of postoperative range of motion during abduction and external rotation is essential to return to preinjury performance levels. We consider that the key to returning to play after ABR on the dominant side in overhead-throwing athletes is to simultaneously gain anterior stability and mobility of the shoulder. However, no gold standard method for determining the appropriate tension of the glenohumeral capsular ligaments in overhead-throwing athletes exists. This Technical Note presents the dynamic anterior glenohumeral capsular ligament tensioning in the abduction and external rotation positions during ABR for the dominant side in overhead-throwing athletes. We consider this surgical technique to be reliable for traumatic anterior instability of the dominant shoulder in athletes who wish to return to overhead-throwing sports.http://www.sciencedirect.com/science/article/pii/S2212628724001865 |
| spellingShingle | Yasuhiro Mitsui, M.D., Ph.D. Tadanao Funakoshi, M.D., Ph.D. Koji Hara, M.D., Ph.D. Kazuto Higuchi, P.T. Azusa Miyamoto, M.S., Ph.D. Hidehiro Nakamura, M.D., Ph.D. Masafumi Gotoh, M.D., Ph.D. Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes Arthroscopy Techniques |
| title | Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes |
| title_full | Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes |
| title_fullStr | Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes |
| title_full_unstemmed | Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes |
| title_short | Dynamic Anterior Glenohumeral Capsular Ligament Tensioning During Arthroscopic Shoulder Stabilization in Overhead-Throwing Athletes |
| title_sort | dynamic anterior glenohumeral capsular ligament tensioning during arthroscopic shoulder stabilization in overhead throwing athletes |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724001865 |
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