Date: 3rd August 20006
Hospital: Ascot Hospital
Operation: Right shoulder arthroscopy and open shoulder stabilisation
Surgeon: Clayton Brown
Anaesthetist: S Laurent
General anaesthetic and brachial plexus block and routine athroscopy performed. Findings at arthroscopy were of a normal rotator cuff and a detached labrum from just inferior to the biceps anchor to the 5 o'clock position on the glenoid labrum.
There was some capsular redundancy, and therefore due to the fact that I wanted to tighten the anterior capsule it was decided to perform an open approach through a short deltopectoral incision taking the conjoined tendon medially and exposing the subscapularis which was taken down as a rectangular exposing the labral defect. This was fashioned using an elevator and repaired using twin fix anchors and an excellent labral repair was achieved from superior to inferior.
The capsule was tightened inferiorly in a superior to lateral direction using No 2 Orthocord and the rotator interval was also lax and this was plicated.
The subscapularis was repaired with No 2 Orthocord and irrigation was followed by closure with a 2-0 Vicryl and 3-0 Monocryl over a Redivac drain.