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Posterior Glenohumeral Capsular Reconstruction Using an Acellular Dermal Allograft.


ABSTRACT: Posterior shoulder instability is an uncommon and challenging cause of shoulder pain and dysfunction. Surgical management has less reliable results and higher failure rates compared with techniques for anterior shoulder instability. The presence of generalized ligamentous laxity further complicates options for surgical management. If primary capsulolabral repair fails, controversy exists as to the optimal revision procedure. This technical description and video present an arthroscopic technique for reconstruction of the posterior glenohumeral capsule with an acellular dermal allograft to treat posterior instability in a patient with Ehlers-Danlos syndrome and a previously failed posterior capsular plication.

SUBMITTER: Karpyshyn J 

PROVIDER: S-EPMC6074021 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Posterior Glenohumeral Capsular Reconstruction Using an Acellular Dermal Allograft.

Karpyshyn Jillian J   Gordey Erin E EE   Coady Catherine M CM   Wong Ivan H IH  

Arthroscopy techniques 20180618 7


Posterior shoulder instability is an uncommon and challenging cause of shoulder pain and dysfunction. Surgical management has less reliable results and higher failure rates compared with techniques for anterior shoulder instability. The presence of generalized ligamentous laxity further complicates options for surgical management. If primary capsulolabral repair fails, controversy exists as to the optimal revision procedure. This technical description and video present an arthroscopic technique  ...[more]

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