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The History and Evolution of the Open Labral Repair with Capsular Shift for Shoulder Instability

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Abstract

Purpose of Review

The purpose of this review is to describe the evolution of the open labral repair with capsular shift, including the current role of this procedure in the treatment of shoulder instability.

Recent Findings

Currently, a subset of patients – high-level collision/contact sport athletes, patients with significant inferior or multi-directional instability, and individuals with failed arthroscopic Bankart repair without bone loss – may experience benefit from undergoing open Bankart repair with capsular shift. Surgeons performing open stabilization can benefit from instrumentation and anchors developed to assist with arthroscopic techniques.

Summary

Understanding the history and evolution behind the procedure not only allows the surgeon to appreciate principles behind an arthroscopic approach, but also permits the utilization of an open approach when required by patient pathology and risk factors.

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Data Availability

No datasets were generated or analysed during the current study.

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Authors and Affiliations

  1. Sports Medicine and Shoulder Service, Hospital for Special Surgery, 535 E 71st Street, New York, NY, 10021, USA

    Paul M. Inclan & Scott A. Rodeo

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PI and SR drafted the manuscript, prepared figures, and edited the manuscript. All authors reviewed the manuscript.

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Correspondence to Scott A. Rodeo.

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Conflict of Interest

Dr. Inclan has no disclosures related to this manuscript. Dr. Rodeo received research funding from the Orthopaedic Research and Education Foundation, NIH, and Toulmin Foundation. He receives consulting fees from Novartis Pharmaceuticals and Enovis. He is the Associate Editor for the American Journal of Sports Medicine and Vice Preseident of the Biologics Association. He has stock or stock options from Jannu Therapeutics, Overture, Brainbox, and Forme.

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Inclan, P.M., Rodeo, S.A. The History and Evolution of the Open Labral Repair with Capsular Shift for Shoulder Instability. Curr Rev Musculoskelet Med (2024). https://doi.org/10.1007/s12178-024-09901-2

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