OBJECTIVE: To present a new arthroscopic technique, the laser-assisted capsular shift (LACS), which decreases glenohumeral instability and reduces recovery time over traditional surgical procedures. BACKGROUND: A student-athlete hyperabducted her right shoulder while diving for a ball during a volleyball match. She complained of pain, weakness, and inability to raise her arm above shoulder height in any plane. DIFFERENTIAL DIAGNOSIS: Capsular sprain, subluxation, rotator cuff strain, glenoid labral lesion. TREATMENT: The student-athlete was unable to play due to pain and dysfunction and so elected to have the LACS procedure performed. UNIQUENESS: The LACS procedure is a relatively new procedure for tightening the capsule and decreasing glenohumeral instability. Immobilization and recovery time are reduced when compared with traditional treatment methods. CONCLUSIONS: The LACS procedure appears to be a good alternative to some of the traditional methods used to treat glenohumeral instability.
OBJECTIVE: To present a new arthroscopic technique, the laser-assisted capsular shift (LACS), which decreases glenohumeral instability and reduces recovery time over traditional surgical procedures. BACKGROUND: A student-athlete hyperabducted her right shoulder while diving for a ball during a volleyball match. She complained of pain, weakness, and inability to raise her arm above shoulder height in any plane. DIFFERENTIAL DIAGNOSIS: Capsular sprain, subluxation, rotator cuff strain, glenoid labral lesion. TREATMENT: The student-athlete was unable to play due to pain and dysfunction and so elected to have the LACS procedure performed. UNIQUENESS: The LACS procedure is a relatively new procedure for tightening the capsule and decreasing glenohumeral instability. Immobilization and recovery time are reduced when compared with traditional treatment methods. CONCLUSIONS: The LACS procedure appears to be a good alternative to some of the traditional methods used to treat glenohumeral instability.
Authors: B R Mandelbaum; J E Browne; F Fu; L Micheli; J B Mosely; C Erggelet; T Minas; L Peterson Journal: Am J Sports Med Date: 1998 Nov-Dec Impact factor: 6.202