{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:02:11Z","timestamp":1788364931959,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T00:00:00Z","timestamp":1654300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The study aimed to analyze the direction of non\u2010recoverable strain and determine the optimal direction for anatomic capsular plication within four sub\u2010regions of the inferior glenohumeral capsule following multiple dislocations. Seven fresh\u2010frozen cadaveric shoulders were dissected. A grid of strain markers was affixed to the inferior glenohumeral capsule. Each joint was mounted in a 6\u2010degree\u2010of\u2010freedom robotic testing system and repeatedly dislocated in the anterior direction 10 times at 60\u00b0 of abduction and 60\u00b0 of external rotation of the glenohumeral joint. The 3D positions of the strain markers were compared before and after dislocations to define the non\u2010recoverable strain. The strain map was divided into four sub\u2010regions. The angles of deviation between each maximum principle strain vector and the anterior band of the inferior glenohumeral ligament (AB\u2010IGHL) or posterior band of the IGHL (PB\u2010IGHL) for the anterior and posterior regions of the capsule were determined. The mean direction of all strain vectors in each sub\u2010region was categorized. The direction of the non\u2010recoverable strain in the anterior\u2010band and anterior\u2010axillary\u2010pouch sub\u2010regions was categorized as parallel to the AB\u2010IGHL, whereas the posterior\u2010axillary\u2010pouch and posterior\u2010band sub\u2010regions were mostly perpendicular to the PB\u2010IGHL. Clinical Significance: Plication of the anteroinferior capsule parallel to the AB\u2010IGHL may be preferred during arthroscopic Bankart repair to restore anatomy; posteroinferior capsular plication may also be necessary and best performed perpendicular to the PB\u2010IGHL.\u00a0The direction of the capsular injury remains the same irrespective of the number of dislocations.\u00a0This study provides the scientific and quantitative rationale for an anatomic approach to capsular plication.<\/jats:p>","DOI":"10.1002\/jor.25385","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T08:03:00Z","timestamp":1653552180000},"page":"479-488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Direction of non\u2010recoverable strain in the glenohumeral capsule following multiple anterior dislocations: Implications for anatomic Bankart 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