Volume Analysis of Arthroscopic Capsular Shift
Purpose: To determine how much volume reduction can be obtained with varying amounts of arthroscopic capsular plication. Methods: Six fresh-frozen, cadaveric specimens were used. Specimens were rejected if a rotator cuff tear was present. The volume of each shoulder joint was measured under 3 condit...
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| Veröffentlicht in: | Arthroscopy 2006-05, Vol.22 (5), p.528-533 |
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| creator | Flanigan, David C. Forsythe, Todd Orwin, John Kaplan, Lee |
| description | Purpose: To determine how much volume reduction can be obtained with varying amounts of arthroscopic capsular plication.
Methods: Six fresh-frozen, cadaveric specimens were used. Specimens were rejected if a rotator cuff tear was present. The volume of each shoulder joint was measured under 3 conditions: no capsular shift, 5-mm capsular shift, and 10-mm capsular shift. For each shift, 4 sutures were placed arthroscopically, 2 anteriorly and 2 posteriorly. Repeated measures were used to confirm the validity of the measurements. Data were analyzed with parametric and nonparametric tests.
Results: The average percentage of volume reduction at 5 mm of capsular plication from control was 16.2% (range, 9.7% to 21.5%). The percentage of volume reduction from control to 10 mm of capsular plication averaged 33.7% (range, 25.3% to 44.6%). Statistical significance was found with both parametric (
P < .0001) and nonparametric tests (
P < .0313).
Conclusions: The current study found that capsular volume reduction was related to the amount of capsular plication with reproducible results. Capsular plication can produce volume reduction comparable to other techniques.
Clinical Relevance: The data could be used to determine the potential number of sutures and amount of tissue plication needed for the amount of laxity found at surgery. |
| doi_str_mv | 10.1016/j.arthro.2006.01.010 |
| format | Article |
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Methods: Six fresh-frozen, cadaveric specimens were used. Specimens were rejected if a rotator cuff tear was present. The volume of each shoulder joint was measured under 3 conditions: no capsular shift, 5-mm capsular shift, and 10-mm capsular shift. For each shift, 4 sutures were placed arthroscopically, 2 anteriorly and 2 posteriorly. Repeated measures were used to confirm the validity of the measurements. Data were analyzed with parametric and nonparametric tests.
Results: The average percentage of volume reduction at 5 mm of capsular plication from control was 16.2% (range, 9.7% to 21.5%). The percentage of volume reduction from control to 10 mm of capsular plication averaged 33.7% (range, 25.3% to 44.6%). Statistical significance was found with both parametric (
P < .0001) and nonparametric tests (
P < .0313).
Conclusions: The current study found that capsular volume reduction was related to the amount of capsular plication with reproducible results. Capsular plication can produce volume reduction comparable to other techniques.
Clinical Relevance: The data could be used to determine the potential number of sutures and amount of tissue plication needed for the amount of laxity found at surgery.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2006.01.010</identifier><identifier>PMID: 16651163</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Anthropometry ; Arthroscopic capsulorrhaphy ; Arthroscopy ; Biological and medical sciences ; Capsulorrhaphy ; Diseases of the osteoarticular system ; Endoscopy ; Humans ; In Vitro Techniques ; Investigative techniques, diagnostic techniques (general aspects) ; Joint Capsule - pathology ; Joint Capsule - surgery ; Joint Instability - pathology ; Joint Instability - surgery ; Juxtaarticular diseases. Extraarticular rhumatism ; Medical sciences ; Multidirectional instability ; Shoulder instability ; Shoulder Joint - pathology ; Shoulder Joint - surgery</subject><ispartof>Arthroscopy, 2006-05, Vol.22 (5), p.528-533</ispartof><rights>2006 Arthroscopy Association of North America</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-a751510a18a6e56d6a18666c281b5bd1e870384994e53118fcb5bad010b6a7cb3</citedby><cites>FETCH-LOGICAL-c390t-a751510a18a6e56d6a18666c281b5bd1e870384994e53118fcb5bad010b6a7cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arthro.2006.01.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17761202$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16651163$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Flanigan, David C.</creatorcontrib><creatorcontrib>Forsythe, Todd</creatorcontrib><creatorcontrib>Orwin, John</creatorcontrib><creatorcontrib>Kaplan, Lee</creatorcontrib><title>Volume Analysis of Arthroscopic Capsular Shift</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>Purpose: To determine how much volume reduction can be obtained with varying amounts of arthroscopic capsular plication.
Methods: Six fresh-frozen, cadaveric specimens were used. Specimens were rejected if a rotator cuff tear was present. The volume of each shoulder joint was measured under 3 conditions: no capsular shift, 5-mm capsular shift, and 10-mm capsular shift. For each shift, 4 sutures were placed arthroscopically, 2 anteriorly and 2 posteriorly. Repeated measures were used to confirm the validity of the measurements. Data were analyzed with parametric and nonparametric tests.
Results: The average percentage of volume reduction at 5 mm of capsular plication from control was 16.2% (range, 9.7% to 21.5%). The percentage of volume reduction from control to 10 mm of capsular plication averaged 33.7% (range, 25.3% to 44.6%). Statistical significance was found with both parametric (
P < .0001) and nonparametric tests (
P < .0313).
Conclusions: The current study found that capsular volume reduction was related to the amount of capsular plication with reproducible results. Capsular plication can produce volume reduction comparable to other techniques.
Clinical Relevance: The data could be used to determine the potential number of sutures and amount of tissue plication needed for the amount of laxity found at surgery.</description><subject>Anthropometry</subject><subject>Arthroscopic capsulorrhaphy</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Capsulorrhaphy</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Joint Capsule - pathology</subject><subject>Joint Capsule - surgery</subject><subject>Joint Instability - pathology</subject><subject>Joint Instability - surgery</subject><subject>Juxtaarticular diseases. Extraarticular rhumatism</subject><subject>Medical sciences</subject><subject>Multidirectional instability</subject><subject>Shoulder instability</subject><subject>Shoulder Joint - pathology</subject><subject>Shoulder Joint - surgery</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhoMo7rr6D0R60VvrTNMm7UVYFr9gwYMf15CmKZulH2vSCvvvzdrC3oSBhPDMO5OHkGuECAHZ_TaStt_YLooBWAToC07IHNOYhTSmeErmwJM8zIDRGblwbgsAlGb0nMyQsRSR0TmJvrp6aHSwbGW9d8YFXRUs_3Kd6nZGBSu5c0MtbfC-MVV_Sc4qWTt9NZ0L8vn0-LF6Cddvz6-r5TpUNIc-lDzFFEFiJplOWcn8jTGm4gyLtChRZxxoluR5olOKmFXKP8vS_6BgkquCLsjdmLuz3fegXS8a45Sua9nqbnCC8TymwGMPJiOo_MbO6krsrGmk3QsEcfAktmL0JA6eBKAv8G03U_5QNLo8Nk1iPHA7AdIpWVdWtsq4I8c5wxgO8x9GTnsbP0Zb4ZTRrdKlsVr1ouzM_5v8Aq5thlA</recordid><startdate>20060501</startdate><enddate>20060501</enddate><creator>Flanigan, David C.</creator><creator>Forsythe, Todd</creator><creator>Orwin, John</creator><creator>Kaplan, Lee</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060501</creationdate><title>Volume Analysis of Arthroscopic Capsular Shift</title><author>Flanigan, David C. ; Forsythe, Todd ; Orwin, John ; Kaplan, Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-a751510a18a6e56d6a18666c281b5bd1e870384994e53118fcb5bad010b6a7cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Anthropometry</topic><topic>Arthroscopic capsulorrhaphy</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Capsulorrhaphy</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Joint Capsule - pathology</topic><topic>Joint Capsule - surgery</topic><topic>Joint Instability - pathology</topic><topic>Joint Instability - surgery</topic><topic>Juxtaarticular diseases. Extraarticular rhumatism</topic><topic>Medical sciences</topic><topic>Multidirectional instability</topic><topic>Shoulder instability</topic><topic>Shoulder Joint - pathology</topic><topic>Shoulder Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Flanigan, David C.</creatorcontrib><creatorcontrib>Forsythe, Todd</creatorcontrib><creatorcontrib>Orwin, John</creatorcontrib><creatorcontrib>Kaplan, Lee</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Flanigan, David C.</au><au>Forsythe, Todd</au><au>Orwin, John</au><au>Kaplan, Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Volume Analysis of Arthroscopic Capsular Shift</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2006-05-01</date><risdate>2006</risdate><volume>22</volume><issue>5</issue><spage>528</spage><epage>533</epage><pages>528-533</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Purpose: To determine how much volume reduction can be obtained with varying amounts of arthroscopic capsular plication.
Methods: Six fresh-frozen, cadaveric specimens were used. Specimens were rejected if a rotator cuff tear was present. The volume of each shoulder joint was measured under 3 conditions: no capsular shift, 5-mm capsular shift, and 10-mm capsular shift. For each shift, 4 sutures were placed arthroscopically, 2 anteriorly and 2 posteriorly. Repeated measures were used to confirm the validity of the measurements. Data were analyzed with parametric and nonparametric tests.
Results: The average percentage of volume reduction at 5 mm of capsular plication from control was 16.2% (range, 9.7% to 21.5%). The percentage of volume reduction from control to 10 mm of capsular plication averaged 33.7% (range, 25.3% to 44.6%). Statistical significance was found with both parametric (
P < .0001) and nonparametric tests (
P < .0313).
Conclusions: The current study found that capsular volume reduction was related to the amount of capsular plication with reproducible results. Capsular plication can produce volume reduction comparable to other techniques.
Clinical Relevance: The data could be used to determine the potential number of sutures and amount of tissue plication needed for the amount of laxity found at surgery.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>16651163</pmid><doi>10.1016/j.arthro.2006.01.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Anthropometry Arthroscopic capsulorrhaphy Arthroscopy Biological and medical sciences Capsulorrhaphy Diseases of the osteoarticular system Endoscopy Humans In Vitro Techniques Investigative techniques, diagnostic techniques (general aspects) Joint Capsule - pathology Joint Capsule - surgery Joint Instability - pathology Joint Instability - surgery Juxtaarticular diseases. Extraarticular rhumatism Medical sciences Multidirectional instability Shoulder instability Shoulder Joint - pathology Shoulder Joint - surgery |
| title | Volume Analysis of Arthroscopic Capsular Shift |
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