Fortschritte in der arthroskopischen Kapsel-Labrum-Rekonstruktion bei ventraler Schulterinstabilität

Abstract

Current data show that the majority of patients in Germany with shoulder instability caused by soft tissue lesions are treated arthroscopically. The published redislocation rates in retrospective studies are less than 10%. Currently most surgeons prefer to use special strong suture materials and bioabsorbable suture anchors with a trend for knotless anchors. Some authors have published special techniques for labrum repair including double row fixation to increase the pull out force of the sutures but further prospective studies are necessary to prove whether these techniques can reduce the redislocation rate. In cases of extended anterior pouch of the capsule and in non-traumatic instability, capsular plication and interval closure can be indicated. There are still no clear objective parameters concerning indications or amount of plication and interval closure.