Neer Modified Inferior Capsular Shift Procedure for Recurrent Anterior Instability of the Shoulder in Judokas

Background: Little has been written about the operative repair of recurrent anterior instability of the shoulder in a single sport: in this case, Judo.Purpose: The clinical efficacy of the Neer modified inferior capsular shift as an open procedure for injured judokas was investigated.Study Design: Case series; Level of evidence, 4.Methods: Fifty athletes (42 male and 8 female, 52 shoulders) took part in this study. The average age at surgery was 20 years (range, 14-38 years), and the mean follow-up period was 61 months (range, 24-172 months). The operation was performed on 29 tsurite (a lapel grip) shoulders and on 23 hikite (a sleeve grip) shoulders. The 2 grips are functionally and technically different from each other.Results: Three cases of shoulder instability (5.8%) recurred after surgery. The average loss of external rotation was 9.6° with the arm at the side and 11.6° with the arm in 90° of abduction. The average Rowe and UCLA scores were 37.3 and 20.8 points preoperatively and 86.7 and 32.4 point...