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inferior capsular shift and arthroscopic plication techniques, which are capsuloligamentous reconstruction techniques ( 11 ). Open inferior capsular shift Open inferior capsular shift procedure was described by Neer ( 1 ) and has been widely used as
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. Treatment options include thermal capsulorrhaphy and arthroscopic capsular plication. 70 , 71 Ligamentum teres disruption is commonly described in arthroscopic surgical reports. 72 It has been related to the tearing of the ligamentum which gives
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FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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. Acta Radiologica 2010 51 302 – 308 . ( https://doi.org/10.3109/02841850903524421 ) 77 Jacobson ME Riggenbach M Wooldridge AN & Bishop JY . Open capsular shift and arthroscopic capsular plication for treatment of multidirectional instability
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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capsular volume, each plication reducing the volume by approximately 10%. 19 Lastly, while both capsular plication and rotator interval closure have been reported to be effective in restoring intact range of motion after capsular stretching, the
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Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milano, Italy
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Fig. 2 and Fig. 3 . Fig. 2 Anteroposterior view of the hip showing ligamentous structures. Fig. 3 Lateral view of the hip showing capsular hip ligaments. Arthroscopic anatomy Telleira et al described the normal
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patients with capsular hyperlaxity and bone defect lower than 25% of the articular surface that had undergone a Latarjet surgery and presented with recurrence. An arthroscopic capsular plication was performed with satisfactory results, including two cases
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. 63 Surgically, capsular closure or capsular plication is paramount. Failure to completely close the capsulotomy site may lead to iatrogenic instability and patients may be more likely to have residual symptoms from capsular laxity or capsular
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-Danlos syndrome, previous PAO surgery), the overall opinion is to perform a capsular plication procedure to prevent further instability after hip arthroscopy, which was associated with a better clinical outcome in a mildly dysplastic cohort. 53 Fig. 6
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patients who have a type 4 injury, arthroscopic plication may also be an alternative. An arthroscopically assisted SL capsuloplasty and suture may not be possible in all patients, particularly not when the ligament has avulsed off the bone (60% of the cases
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anchor that was placed in the sternum using Polydioxanone (PDS) suture in the medial clavicle and first rib. Abiddin et al 41 used suture anchors in the manubrium with capsular plication with good results in eight cases. Kirby et al 10 have used