@bradleyblair83: A capsular shift operation is a surgical procedure used to treat shoulder instability, typically when the joint capsule has become stretched or redundant. This can occur due to repetitive dislocations, chronic subluxations, or congenital laxity. The goal of the operation is to reduce the volume of the glenohumeral joint capsule by tightening it, thereby restoring stability without over-constraining the joint. The surgeon achieves this by creating a flap in the capsule, overlapping and suturing the tissue to shift and tighten the capsule, effectively reinforcing the anterior, posterior, or inferior portions depending on the direction of instability. This operation can be done arthroscopically or through open surgery, with arthroscopic techniques generally being preferred today due to less soft tissue disruption and quicker initial recovery. It’s most commonly performed in patients who have generalised ligamentous laxity or those who’ve failed conservative management and have persistent symptoms of instability. Recovery from a capsular shift procedure varies depending on the individual and the extent of the instability addressed, but generally, the arm is immobilised in a sling for around four to six weeks post-operatively to allow the capsule to heal in the tightened position. Physiotherapy usually begins early with passive range of motion exercises, progressing to active movements and eventually strength work. Most patients can expect to regain full function by around four to six months, but return to contact sports or high-demand activities may take closer to nine months. Full recovery is gradual, and regaining stability without compromising range of motion requires careful rehabilitation and adherence to post-op guidelines. #osteopaths #shoulderpain #rotatorcuff #osteopathy #anatomy

Bradley Blair

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Region: NZ

Wednesday 21 May 2025 06:19:46 GMT