Hassan Farooq, Jason Howard, Robert F Kelly, Joseph Zywiciel, Nickolas G Garbis, Dane H Salazar
{"title":"Arthroscopic Capsular Plication for Atraumatic Instability results in improved Patient Reported Outcome Measures.","authors":"Hassan Farooq, Jason Howard, Robert F Kelly, Joseph Zywiciel, Nickolas G Garbis, Dane H Salazar","doi":"10.1097/JSA.0000000000000436","DOIUrl":null,"url":null,"abstract":"<p><p>The purpose of this study was to evaluate patient-reported outcomes (PROs) after arthroscopic capsulolabral plication in patients with atraumatic instability (AI). A retrospective review of 282 cases from 2012 to 2020 identified 45 patients meeting inclusion criteria. The cohort was 60% female with mean age and body mass index of 25.4 years and 25.5 kg/m2, respectively. Postoperative assessment showed significant improvements in shoulder function and pain with a mean American Shoulder and Elbow Surgeon (ASES) score increase from 53.0 and 76.0 (P<0.0001), and a mean Western Ontario Shoulder Instability Index (WOSI) indicating 82.92% of normal shoulder function. Patients with Ehlers-Danlos syndrome (EDS) experienced higher rates of recurrent instability and revision surgery. Despite these challenges, arthroscopic capsulolabral plication remains a viable surgical option for AI in patients unresponsive to conservative management. Level of Evidence: Level IV case series.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports Medicine and Arthroscopy Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/JSA.0000000000000436","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
The purpose of this study was to evaluate patient-reported outcomes (PROs) after arthroscopic capsulolabral plication in patients with atraumatic instability (AI). A retrospective review of 282 cases from 2012 to 2020 identified 45 patients meeting inclusion criteria. The cohort was 60% female with mean age and body mass index of 25.4 years and 25.5 kg/m2, respectively. Postoperative assessment showed significant improvements in shoulder function and pain with a mean American Shoulder and Elbow Surgeon (ASES) score increase from 53.0 and 76.0 (P<0.0001), and a mean Western Ontario Shoulder Instability Index (WOSI) indicating 82.92% of normal shoulder function. Patients with Ehlers-Danlos syndrome (EDS) experienced higher rates of recurrent instability and revision surgery. Despite these challenges, arthroscopic capsulolabral plication remains a viable surgical option for AI in patients unresponsive to conservative management. Level of Evidence: Level IV case series.
期刊介绍：
Sports Medicine and Arthroscopy Review helps physicians digest the large volume of clinical literature in sports medicine and arthroscopy, identify the most important new developments, and apply new information effectively in clinical practice. Each issue is guest-edited by an acknowledged expert and focuses on a single topic or controversy. The Guest Editor invites the leading specialists on the topic to write review articles that highlight the most important advances. This unique format makes the journal more in-depth, authoritative, and practical than most publications in this field. The journal also includes dozens of full-color and black-and-white arthroscopic images and illustrations.
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