CPT® Code 23465

A capsulorrhaphy of the glenohumeral joint, specifically the posterior aspect, is a surgical procedure aimed at addressing issues related to posterior instability and recurrent posterior dislocation of the shoulder joint. The glenohumeral joint, commonly known as the shoulder joint, is a ball-and-socket joint that allows for a wide range of motion. However, it is also susceptible to dislocations, with posterior dislocations occurring less frequently than their anterior counterparts. These dislocations can manifest as subacromial, subglenoid, or subspinous dislocations of the humeral head, leading to instability and functional impairment. The procedure is indicated for various conditions, including simple posterior dislocations, chronic locked dislocations, and chronic posterior instability. Surgical techniques may vary based on the specific condition being treated. The reverse Bankart technique is one of the approaches utilized, which involves making a posterior skin incision and performing a series of dissection and repairs to restore the integrity of the joint capsule. Other techniques, such as the Neer and Rockwood methods, also employ similar approaches but differ in their specific maneuvers and suturing techniques. Overall, the goal of capsulorrhaphy is to stabilize the shoulder joint, restore its function, and prevent future dislocations.