Capsulorraphy – Shoulder Stabilization Procedure


Capsulorrhaphy Background

Capsulorraphy is a procedure is used to stabilize the shoulder and can help relieve pain and improve function. In this article, we will discuss what capsulorrhaphy is, how it is performed, and what to expect after surgery. We will also provide some tips on recovering from capsulorrpahy surgery.

What is Should Instability

Shoulder instability happens for a variety of reasons. If the shoulder does not heal properly after a traumatic shoulder dislocation, it can lead to recurrent instability. Unstable shoulders can also be caused by naturally loose tissues (labrum and capsule). In this instance, the tissues are stretched repeatedly and no longer provide support or stability to the shoulder. A patient may feel that his or her shoulders are slipping out of their sockets, and they may experience weakness as a result of unstable shoulders.

Who Needs Capsulorrhaphy

Patients who have recurrent shoulder instability and those that fail nonoperative treatment of their shoulder instability problem are often treated surgically with capsulorraphy. The purpose of surgery is to restore the static stabilizers of the glenohumeral joint. This may be achieved by repair and reattaching the torn labrum, tightening the stretched capsule, or a combination of both.

How is Capsulorraphy Performed

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Shoulder capsulorraphy can be done either through arthroscopy or open surgery. It is important to understand the clinical circumstances underlying a patient’s unstable shoulder in order to choose between alternative treatments. Most people may be treated with minimally invasive techniques.

Dr. Burnham uses a tiny camera (arthroscope) to examine the muscles, tendons, ligaments, and cartilage of the shoulder joint in a minimally invasive procedure. Small incisions are made to insert a small camera (arthroscope) for Dr. Burnham to methodically evaluate the muscles, tendons, ligaments, and cartilage of the shoulder joint. Surgical instruments specific to this operation are inserted through another minor incision and used to remove and eliminate diseased tissues.

To form a more robust capsule, the remaining healthy labrum, capsule, and cartilage are combined together, and tightened. The capsule is then re-attached to the glenoid with specialized surgical anchors that are embedded in the bone. This helps to provide better stability and to help hold the shoulder in better anatomic position.

What to Expect After Surgery

After capsulorraphy surgery, patients will usually be allowed to go home the same day. After surgery, you will be monitored closely and given pain medication to keep you comfortable. You will also be given a sling to wear and instructions on how to care for your incisions. It is important to follow these instructions carefully to ensure proper healing. You will likely have a follow-up appointment with Dr. Burnham within one to two weeks after your surgery. At this appointment, he will remove your stitches or staples and check on your progress. Recovery from capsulorraphy surgery takes time, but most people are able to return to their normal activities within four to six months.

Contact the office of Dr. Burnham if you have shoulder instability and are considering capsulorraphy surgery. Dr. Burnham will collaborate with you to create an individualized treatment strategy that is tailored to your unique requirements and objectives. Dr. Burnham is an orthopedic shoulder surgeon who sees patients in Baton Rouge, Hammond, and West Baton Rouge locations such as Brusly, Plaquemine, Prairieville, Central, Gonzales, Denham Springs, Livingston, Walker, Zachary, and St. Francisville.

FAQ. Frequently Asked Questions

What is Bankart repair and Capsulorrhaphy?

Bankart repair and capsulorrhaphy are two surgeries that can be used to treat a dislocated shoulder. The Bankart repair is named after Dr. Henry Bankart, who first described the surgery in 1923. It involves reattaching the torn ligaments around the shoulder socket (glenoid labrum) to stabilize the joint. Capsulorrhaphy is a procedure to repair the torn capsule around the shoulder joint. It is often done at the same time as the Bankart repair.

Both surgeries are typically performed arthroscopically, which means that small incisions are made and a camera is inserted into the shoulder joint. This allows the surgeon to see the injury and repair it without having to make a large incision. Recovery from both surgeries typically takes 4-6 weeks. Physical therapy is often required after surgery to help regain range of motion and strength.

What is capsular surgery?

Capsular surgery is a shoulder procedure that involves repairing or remodeling the shoulder capsule. This may be done to treat shoulder instability, tears in the capsule, or other shoulder conditions. Capsular surgery can be performed using open or arthroscopic techniques.

What is capsulolabral repair?

Capsulolabral repair is a surgical procedure used to treat a tear in the shoulder capsule and ligaments. The capsule is a tough, fibrous tissue that surrounds the shoulder joint and holds it in place. The ligaments are strong bands of tissue that connect the bones of the joint. A tear in either of these structures can cause pain and instability in the shoulder joint.

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