Arthroscopic Posterior Glenohumeral Capsular Augmentation With Gracilis Tendon Allograft

Michael D Maloney; Joseph C Schaffer; Raymond J Kenney

doi:10.1016/j.eats.2019.06.020

Arthroscopic Posterior Glenohumeral Capsular Augmentation With Gracilis Tendon Allograft

Arthrosc Tech. 2019 Oct 7;8(11):e1277-e1282. doi: 10.1016/j.eats.2019.06.020. eCollection 2019 Nov.

Authors

Michael D Maloney¹, Joseph C Schaffer¹, Raymond J Kenney¹

Affiliation

¹ Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York, U.S.A.

Abstract

Recurrent shoulder instability complicated by capsular insufficiency due to underlying soft-tissue disorders or multiple prior failed surgical procedures poses a challenging surgical problem. Traditional capsulolabral soft-tissue reconstruction techniques are less effective in this setting, and bony procedures sacrifice normal anatomic relations. The described arthroscopic technique aims to prevent instability while maintaining range of motion through creation of a soft-tissue allograft "sling" augmenting the posterior glenohumeral capsule.