The torn shoulder capsule.

Tears of the shoulder capsule attended by retraction of the edges of the tear, inability to close the gap, and pathological changes in the biceps tendon may be very effectively managed by: (1) a transacromial exposure with a V-shaped osteotomy and subsequent replacement of the acromion with bone screws, and (2) standard repairs of the shoulder capsule after the biceps tendon has been reseated in a newly constructed, more laterally located groove in the head of the humerus. The follow-up results document the value of these procedures done on a group of fourteen patients.