HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Itoi, E. Articles by Wakabayashi, I. Search for Related Content PubMed PubMed Citation Articles by Itoi, E. Articles by Wakabayashi, I. Related Collections Shoulder Operative

Range of Motion after Bankart Repair

Vertical Compared with Horizontal Capsulotomy

Department of Orthopedic Surgery, Akita University School of Medicine, Akita, Japan

* Address correspondence and reprint requests to Eiji Itoi, MD, Department of Orthopedic Surgery, Akita University School of Medicine, Hondo 1–1-1, Akita 010-8543, Japan

We studied the range of shoulder motion of patients who underwent vertical as compared with horizontal capsulotomies during open Bankart repair for recurrent anterior dislocations of the shoulder. A vertical capsulotomy was used in 10 shoulders and a horizontal capsulotomy was used in 14 shoulders. Except for the method of capsulotomy, the surgical procedure and postoperative rehabilitation were the same. The range of motion was measured at 1.5, 2, 3, 4, 5, 6, 9, and 12 months after the surgery, and at the final follow-up (average, 49 months for the vertical and 26 months for the horizontal group). No dislocations recurred, and the anterior apprehension test was negative in all of the patients in both groups. External rotation in abduction was greater in the horizontal group than in the vertical group; the differences were significantly greater at 9 months and 12 months after surgery and at the final follow-up. External rotation in adduction, flexion, and internal rotation were not significantly different between the groups. We conclude that Bankart repair through a horizontal capsulotomy preserves a better range of external rotation in abduction than does a vertical approach.

This article has been cited by other articles:

				J. L. Andary and S. A. Petersen The Vascular Anatomy of the Glenohumeral Capsule and Ligaments: An Anatomic Study J. Bone Joint Surg. Am., December 9, 2002; 84(12): 2258 - 2265. [Abstract] [Full Text] [PDF]