Arthroscopic Capsular Plication in the Treatment of Shoulder Pain in Competitive Swimmers
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Shoulder pain is a common and difficult problem in competitive swimmers due to cumulative loads from repetitive overhead motion. Capsular laxity has been implicated as a potential etiology for shoulder pain in competitive swimmers. No study has examined the role of capsular plication in addressing recurrent shoulder pain in competitive swimmers. The purpose of this study is to retrospectively describe our series of competitive swimmers treated with arthroscopic capsular plication with a primary outcome of return to competitive swimming. Eighteen shoulders in 15 patients underwent arthroscopic capsular plication from 2003 to 2007. Patients were contacted at an average follow-up of 29 months (range, 8–42) and a swimming history, American Shoulder and Elbow (ASES) scores, and L'Insalata scores were obtained. At time of surgery, all patients demonstrated laxity under examination under anesthesia. All patients had a positive drive-through sign. Eighty percent (12/15) of patients returned to competitive swimming although only 20% (3/15) were able to return to their pre-injury training regimen volume. All patients subjectively reported improved pain after surgery. The average ASES score was 78 ± 16 (average, standard deviation). The average L'Insalata score was 82 ± 11. Although our results demonstrate that arthroscopic capsular plication has utility in the treatment of shoulder pain in swimmers who have failed non-operative treatment, the inability of some athletes to return to pre-injury training volume illustrates the difficult nature of shoulder pain in swimmers.
Level of Evidence: Retrospective case series, Level IV
- McMaster WC, Troup J. A survey of interfering shoulder pain in United States competitive swimmers. Am J Sports Med 1993;21:67–70. CrossRef
- Richardson AB, Jobe FW, Collins HR. The shoulder in competitive swimming. Am J Sports Med 1980;8:159–163. CrossRef
- Brushoj C, Bak K, Johannsen HV, Fauno P. Swimmers’ painful shoulder arthroscopic findings and return rate to sports. Scand J Med Sci Sports 2007 Aug;17:373–7.
- McMaster WC. Anterior glenoid labrum damage: A painful lesion in swimmers. Am J Sports Med 1986;14:383–387. CrossRef
- Sein ML, Walton J, Linklater J. Shoulder pain in elite swimmers: primarily due to swim-volume-induced supraspinatus tendonopathy. Br J Sports Med 2008;42:178–82. CrossRef
- McMaster WC, Long SC, Caiozzo VJ. Shoulder torque changes in the swimming athlete. Am J Sports Med 1992;20:323–327. CrossRef
- McMaster WC, Roberts A, Stoddard T. A correlation between shoulder laxity and interfering pain in competitive swimmers. Am J Sports Med 1998;26:83–86.
- Bak K, Magnusson SP. Shoulder strength and range of motion in symptomatic and pain-free elite swimmers. Am J Sports Med 1997;25:454–459. CrossRef
- Bak K, Fauno P. Clinical findings in competitive swimmers with shoulder pain. Am J Sports Med 1997;25:254–260. CrossRef
- Laurencin CT, Deutsch A, O’Brien SJ, Altchek DW. The superolateral portal for arthroscopy of the shoulder. Arthroscopy 1994;10:255–8. CrossRef
- Bigliani LU, Kurzweil PR, Schwartzbach CC, Wolfe IN, Flatow EL. Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes. Am J Sports Med 1994;22:578–84. CrossRef
- Bak K, Spring BJ, Henderson JP. Inferior capsular shift procedure in athletes with multidirectional instability based on isolated capsular and ligamentous redundancy. Am J Sports Med 2000;28:466–71.
- Dugas JR, Andrews JR. Thermal capsular shrinkage in the throwing athlete. Clin Sports Med 2002;21:771–776. CrossRef
- Tibone JE, Jobe FW, Kerlan RK et al. Shoulder impingement syndrome in athletes treated by an anterior acromioplasty. Clin Orthop Relat Res 1985; 198:134–140.
- Cole BJ, L’Insalata J, Irrgang J, Warner J. A comparison of arthroscopic and open anterior shoulder stabilization. J Bone Joint Surg 2000;82:1108–1114. CrossRef
- Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of multidirectional glenohumeral instability: 2 to 5 year follow-up. Arthroscopy 2001;17:236–243. CrossRef
- Arthroscopic Capsular Plication in the Treatment of Shoulder Pain in Competitive Swimmers
Volume 6, Issue 2 , pp 145-149
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- shoulder laxity
- shoulder instability
- shoulder pain
- arthroscopic capsular plication
- Industry Sectors
- Author Affiliations
- 1. Department of Orthopaedic Surgery, UCLA Center for Health Sciences, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA
- 2. Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, MI, USA
- 3. Hospital for Special Surgery, New York, NY, USA