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The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*†
by MICHAEL A. WIRTH, GEORGE BLATTER, and CHARLES A. ROCKWOOD
J Bone Joint Surg AmVolume 78(2):246-60
February 1, 1996
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Figs. 1 through 9: Illustrations demonstrating the operative technique.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Axial view, demonstrating the intended plane of dissection for reflection of the medial and lateral portions of the subscapularis tendon.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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The inferior aspect of the capsule is exposed, and the axillary nerve is protected.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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The anterior aspect of the glenoid is decorticated.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Non-absorbable sutures are passed through the drill-holes for subsequent repair of the Perthes-Bankart lesion.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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The medial aspect of the capsule is pulled taut in a lateral direction, and the suture is passed through the capsule.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Any superior capsular defect is closed, followed by superolateral shift of the medial capsular leaflet.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Figs. 8-A and 8-B: The lateral capsular leaflet is shifted superomedially, which double-breasts the anterior aspect of the capsule.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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Figs. 8-A and 8-B: The lateral capsular leaflet is shifted superomedially, which double-breasts the anterior aspect of the capsule.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.
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The subscapularis tendon is reapproximated.
MICHAEL A. WIRTH et al. J Bone Joint Surg Am 1996;78:246-60
©1996 by The Journal of Bone and Joint Surgery, Inc.