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EXPERIENCE WITH CAPSULORRHAPHY FOR RECURRENT DISLOCATION OF THE SHOULDER
ORRIS R. MYERS
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United States Naval Hospital, Shoemaker, California
1946 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1946; 28:253-261 
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Abstract

Inasmuch as approximately sixty different operations have been devised for the treatment of recurrent dislocation of the shoulder, each productive of a degree of success, it would appear that to date there has been no wholly dependable operation for complete cure of this malady.

The present series would indicate that we must attack the site of pathological changes in order to procure a more satisfactory result, and since the changes seem to be constant in the capsule anti the joint cavity, a method of capsulorrhaphy would be the immost logical therapeutic measure.

Compensatory muscle, tendon, or fascial support has not been found adequate in these cases, nor has their plastic repair or substitution been sufficient.

This method of capsulorrhaphy causes no intra-articular damage, the joint cavity remains intact with no more trauma than is produced by the arthrotomy, and the repair is made at the site of trauma with an attempt to overcome the insufficiency of the glenoid cavity.

The incidence of recurrence must be evaluated after a period of years, rather than of months, in order to determine the final proof of any one procedure. Eighteen months without recurrence has been the longest period of observation made by the author.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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