The Split Capsule Technique for Chronic Anterior Shoulder Dislocation: A Novel Surgical Technique and Case Series

The authors describe a novel split capsule technique for the open treatment of chronic locked anterior shoulder dislocation. The described technique is easily reproducible and focuses on preservation of the native joint with open reduction of the humeral head and soft tissue repair. The steps entail the creation of a neocapsule of the shoulder, elimination of the pseudoglenoid space with a medial capsular repair, and a combined medial and lateral capsular shift. In the present article, the procedure is outlined in detail with technical pearls, 3 case examples, and a review of treatment options.