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    Arthroscopy. 2009 Jan;25(1):13-8.

    The effect of coracoacromial ligament excision and acromioplasty on superior and anterosuperior glenohumeral stability.

    Su WR, Budoff JE, Luo ZP.

    National Cheng Kung University Hospital, Tainan, Taiwan.

    Comment in:

    PURPOSE: To determine the effect of coracoacromial ligament (CAL) resection and subacromial decompression (SAD)/acromioplasty on humeral head translation under anterosuperior and superior loading in a cadaveric model with an intact rotator cuff. METHODS: Six cadaveric shoulders were tested in the intact state, following CAL resection and following SAD. RESULTS: Excision of the CAL led to a significant increase in anterosuperior humeral translation of 2.1 mm (17%). SAD led to a significant increase in superior humeral translation of 2.5 mm (28%). CONCLUSIONS: The results of this cadaveric study showed that resection of the CAL led to a 2.1-mm increase in anterosuperior translation and that SAD led to a 2.5-mm increase in superior translation. CLINICAL RELEVANCE: CAL resection and SAD are common surgical procedures, which may lead to increases in anterosuperior and superior glenohumeral instability.

    PMID: 19111213 [PubMed - indexed for MEDLINE]

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