{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:25:19Z","timestamp":1777386319105,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1989,7,1]],"date-time":"1989-07-01T00:00:00Z","timestamp":615254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[1989,7]]},"abstract":"<jats:p>The purpose of this project was to answer the question, \"Can shoulder instability be dealt with safely and effec tively arthroscopically?\" This study, which began in December 1982 and concluded in February 1985, in volved 12 patients, 3 females and 9 males whose ages ranged from 14 to 40 years. Followup ranged from 31 to 63 months, the average being 44.8 months. The arthroscopic procedure was based on the use of a tool designed to capture the capsule, thus allowing place ment of either one or two low profile extraarticular staples in the capsule.<\/jats:p>\n                  <jats:p>Two cases were failures. The remaining 10 patients were pleased with their operation. Based on the clas sification of Rowe et al., functional results were six excellent, two good, two fair, and two poor. The six patients with excellent results had shoulders of normal appearance. They were fully active and had neither pain nor limitation of motion. All six patients had negative apprehension signs. The two patients with good results had similar outcomes, but they had occasional morning stiffness and intermittent mild pain, as well as a 10\u00b0 limitation of external rotation in both adduction and abduction. One patient who had a fair result had a positive apprehension sign and occasional pain with quick motion. The other patient with a fair result was hampered by more significant pain on an intermittent basis, yet the pain was not a constant issue. None of these patients had radiographic evidence of increased degenerative changes of the shoulder or staple migra tion. There were two complications and two failures.<\/jats:p>\n                  <jats:p>The answer to the question, \"Can shoulder instability be dealt with safely and effectively arthroscopically?\", is a qualified yes. For patients who want to avoid the morbidity of an open operation, the results of study suggest that arthroscopic shoulder stabilization can be a safe and reasonably effective alternative to open surgery.<\/jats:p>","DOI":"10.1177\/036354658901700408","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"495-500","source":"Crossref","is-referenced-by-count":55,"title":["Arthroscopic shoulder capsulorraphy: Does it work?"],"prefix":"10.1177","volume":"17","author":[{"given":"R. Michael","family":"Gross","sequence":"first","affiliation":[{"name":"Creighton University School of Medicine, Omaha, Nebraska"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1989,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-23-267-151"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18002610104"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3285.1132"},{"key":"atypb4","doi-asserted-by":"crossref","unstructured":"Boyd HB, Hunt HL Recurrent dislocation of the shoulder. J Bone Joint Surg 47A 1514-1520, 1965","DOI":"10.2106\/00004623-196547080-00005"},{"key":"atypb5","unstructured":"Broca A., Hartman H. Contribution a l'etude des luxations de l'epaul Bull Soc Anat Paris 4. 312-336, 1890"},{"key":"atypb6","unstructured":"Caird FM The shoulder joint in relation to certain dislocations and fractures . Edinburgh Med J 32: 708-714, 1887"},{"key":"atypb7","unstructured":"Cramer F.: Resection des Oberarmkopfs wegen habitueller luxation (Noch eimen im orzlichen Verein zu Wiesbaden gehaltenen Vortroge). Berliner Klin Wochenschr 19 21-25, 1882"},{"key":"atypb8","unstructured":"DePalma AF Surgery of the Shoulder Third edition Philadelphia , JB Lippincott, 1983, p 474"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196709000-00006"},{"key":"atypb10","doi-asserted-by":"crossref","unstructured":"duToit GT, Roux D. Recurrent dislocation of the shoulder A 24 year study of the Johannesburg stapling operation. J Bone Joint Surg 38A 1-12, 1956","DOI":"10.2106\/00004623-195638010-00001"},{"key":"atypb11","unstructured":"Eden-Hybbinette R. Technique of Palmer and Widen, in Crenshaw AH (ed) Campbell's Operative Orthopaedics. Fifth edition, Vol 1. St. Louis, CV Mosby, 1971"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(85)80002-5"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1148\/35.6.690"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1177\/036354658100900501"},{"key":"atypb15","unstructured":"Hybbinette S. De la transplantation d'un fragment osseux pour rem\u00e9dier aux luxations r\u00e9cidivantes de l'\u00e9paule Constatations et r\u00e9sultats op\u00e9ratoires Acta Chir Scand 71: 411-443, 1932"},{"key":"atypb16","unstructured":"Jackson DW (Ed): Shoulder surgery in the athlete. Techniques m Orthopaedics Vol 4. Rockville, Maryland Aspen Publication , 1985"},{"key":"atypb17","unstructured":"Johnson LL Arthroscopic management for shoulder instability Stapling Presented at the Arthroscopic Association of North America Specialty Day, Atlanta, GA, February 1988 Arthroscopic Surgery Its Present Status for the Orthopaedic Surgeon , Chicago, IL, AANA, 1988"},{"key":"atypb18","unstructured":"Kuster E. Ueber habituelle schulter luxation Verh Deutsch Ges Chir 11 112-114,1882"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1943.02840490017006"},{"key":"atypb20","doi-asserted-by":"crossref","unstructured":"Matthews LS , Helfet DL, Spearman J., et al Arthroscopic staple capsulorrhaphy for anterior instability of the shoulder Arthroscopy 2 116, 1986","DOI":"10.1016\/S0749-8063(86)80037-8"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052050-00015"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(87)80027-0"},{"key":"atypb23","doi-asserted-by":"crossref","unstructured":"Osmond-Clarke H. Habitual dislocation of the shoulder The Putti-Platt operation J Bone Joint Surg 30B. 19-25, 1948","DOI":"10.1302\/0301-620X.30B1.19"},{"key":"atypb24","doi-asserted-by":"crossref","unstructured":"Palmer I., Wid\u00e9n A. The bone block method for recurrent dislocation of the shoulder joint J Bone Joint Surg 30B. 53-58, 1948","DOI":"10.1302\/0301-620X.30B1.53"},{"key":"atypb25","doi-asserted-by":"crossref","unstructured":"Pappas AM, Goss TP, Klemman PK Symptomatic shoulder instability due to lesions of the glenoid labrum . Am J Sports Med 11. 279, 1983","DOI":"10.1177\/036354658301100501"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1007\/BF02894989"},{"key":"atypb27","unstructured":"Rockwood CA Subluxations and dislocations about the shoulder, in Rockwood CA, Green DP (eds) Fractures m Adults. 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