What is Open Shoulder Reconstruction, Capsular Shift?
If a patient experiences bone loss, a dislocation that cannot be reduced completely, or has multi-directional instability, open surgery may be recommended over shoulder arthroscopy. The shoulder capsule is an envelope surrounding the synovial joint. Each capsule has two parts: an outer fibrous layer, where the ligaments are which stabilize the shoulder joint, and an inner synovial layer or membrane. These layers work together to stabilize the shoulder and to give it it’s range of motion. When they are damaged, the joint can slip out of place or easily dislocate.
An open shoulder reconstruction, capsular shift is a more traditional surgery performed to tighten the shoulder joint. In this shoulder surgery, Dr. Mazzara makes an incision along the front of the joint and the muscle in the front of the shoulder. This muscle is called the subscapularis and it is part of the rotator cuff. That muscle is detached to allow Dr. Mazzara to see inside the joint. The shoulder capsule can then be seen and split so the bottom part is pulled up and the top part is pulled down to decrease the overall volume of the shoulder capsule.
Is there an Advantage to the Open Capsular Shift?
The open capsular shift for shoulder reconstruction has been a “tried and true” shoulder surgery to correct instability when performed by Dr. Mazzara. The open technique gives him the ability to visualize the extent to which he needs to tighten the joint and reduce the volume of the shoulder capsule. Patients in the Manchester, South Windsor, Rocky Hill, Glastonbury and surrounding Hartford communities who have had an open capsular shift have found greater stability when faced with multi-directional instability.
For more information on arthroscopic stabilization for shoulder instability and open shoulder reconstruction with capsular shift, please contact the orthopedic practice of Dr. James Mazzara, shoulder surgeon, in the Manchester, South Windsor, Rocky Hill Glastonbury and surrounding Hartford communities.