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Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome.

Publication ,  Journal Article
Aldridge, JM; Perry, JJ; Osbahr, DC; Speer, KP
Published in: Arthroscopy
2003

Ehlers-Danlos syndrome (EDS) is a heterogeneous collection of inherited connective tissue disorders characterized by hypermobility of the joints and hyperextensibility and fragility of the skin. For many patients, the hypermobile joints become problematic. To date, the mainstay of surgical treatment for EDS-related joint laxity has been open surgical capsulorraphy, which, although usually effective, confers significant morbidity to the patient. We present the case of a 9-year-old girl diagnosed with a variant of EDS and severely disabled from multidirectional instability of her shoulders and recurrent dislocations of her hips. After 1 year of nonoperative treatment (physical therapy, bracing, and activity restriction) failed, we performed a sequential arthroscopic thermal capsulorraphy of both shoulders. At a 2-year follow-up, the patient has no instability in the left shoulder and only occasional subluxations of the contralateral shoulder. We believe that thermal capsulorraphy is a viable addition to the shoulder surgeon's armamentarium in treating multidirectional instability in children with EDS.

Duke Scholars

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

2003

Volume

19

Issue

5

Start / End Page

E41

Location

United States

Related Subject Headings

  • Shoulder Joint
  • Shoulder Dislocation
  • Recurrence
  • Range of Motion, Articular
  • Physical Therapy Modalities
  • Orthopedics
  • Joint Instability
  • Humans
  • Female
  • Electrocoagulation
 

Citation

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Aldridge, J. M., Perry, J. J., Osbahr, D. C., & Speer, K. P. (2003). Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome. Arthroscopy, 19(5), E41. https://doi.org/10.1053/jars.2003.50161
Aldridge, Julian M., John J. Perry, Daryl C. Osbahr, and Kevin P. Speer. “Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome.Arthroscopy 19, no. 5 (2003): E41. https://doi.org/10.1053/jars.2003.50161.
Aldridge JM, Perry JJ, Osbahr DC, Speer KP. Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome. Arthroscopy. 2003;19(5):E41.
Aldridge, Julian M., et al. “Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome.Arthroscopy, vol. 19, no. 5, 2003, p. E41. Pubmed, doi:10.1053/jars.2003.50161.
Aldridge JM, Perry JJ, Osbahr DC, Speer KP. Thermal capsulorraphy of bilateral glenohumeral joints in a pediatric patient with Ehlers-Danlos syndrome. Arthroscopy. 2003;19(5):E41.
Journal cover image

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

2003

Volume

19

Issue

5

Start / End Page

E41

Location

United States

Related Subject Headings

  • Shoulder Joint
  • Shoulder Dislocation
  • Recurrence
  • Range of Motion, Articular
  • Physical Therapy Modalities
  • Orthopedics
  • Joint Instability
  • Humans
  • Female
  • Electrocoagulation