Open inferior capsular shift for multidirectional shoulder instability in adolescents with generalized XXXX or @entity4243 .

@entity1 @entity158 @entity41713 @entity4243
BACKGROUND: The objective of this study was to assess the outcome of open inferior capsular shift for multidirectional shoulder instability in @entity1 with generalized @entity41713 or @entity4243 . METHODS: Data were obtained for 18 open inferior capsular shift surgeries in 15 adolescent @entity1 with generalized @entity41713 or @entity4243 with a mean follow-up of 7.5 years. End points were subjective clinical outcome ( @entity158 , stability, satisfaction, return to sport), objective clinical outcome (recurrence, complications), and functional outcome scores (American Shoulder and Elbow Surgeons, 11-item version of the Disabilities of Arm, Shoulder and Hand). RESULTS: Thirteen @entity1 (87%) reported improved @entity158 and stability and were satisfied with the procedure. Nine @entity1 (64%) were able to return to sports. One @entity1 (7%) was dissatisfied with continuous @entity158 and recurrent instability and considered a surgical failure. Seven @entity1 (47%) reported no further episodes of instability. The mean American Shoulder and Elbow Surgeons score at a mean of 7.5 years of follow-up was 88        10 points, and the mean score for the 11-item version of the Disabilities of Arm, Shoulder and Hand was 14        14 points. DISCUSSION: The management of multidirectional shoulder instability in adolescent @entity1 with generalized @entity41713 or @entity4243 is challenging. Open inferior capsular shift results in improvement in subjective and objective shoulder function and stability in adolescent @entity1 with @entity41713 or @entity4243 who have failed nonoperative treatment. We found no effect of the recalled number of prior dislocations, laterality, and type of hyperlaxity on subjective and objective clinical outcomes. LEVEL OF EVIDENCE: Level IV; Case Series; Treatment Study.
