International Journal of Research in Medical Sciences | January 2019 | Vol 7 | Issue 1 Page 301 International Journal of Research in Medical Sciences Christian SA et al. Int J Res Med Sci. 2019 Jan;7(1):301-304 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 Case Report Arthroscopic posterior-inferior capsular release in the treatment of overhead athlete with GHIRD: a case report Stedy Adnyana Christian*, I. G. N. Wien Aryana, I. B. Aditya Wirakarna, I. G. B. Indra Angganugraha P. J., Komang Arie Trysna Andika, Hafidz Addatuang Ambong, Soehartono Hadi Pranata INTRODUCTION Glenohumeral internal rotation deficit (GHIRD) is one of most controversial joint diseases in terms of diagnosis and treatment. The use of arthroscopy has improved the recognition of pathologic findings in glenohumeral internal rotation deficit (GHIRD) and allowed a better understanding of the etiology of it and the correlation between symptoms and lesion patterns. It can be observed in overhead athletes and is thought to play a role in generating pain and rotator cuff weakness in the dominant shoulder with sport. It is unclear what is an acceptable value of GIRD in a population of overhead athletes and whether it should be based solely on internal rotation deficit or should include total range of motion (ROM) deficit. 1,2 Acquired GHIRD in the athlete’s throwing shoulder has been thoroughly documented in the literature as a loss of internal rotation relative to the non-throwing shoulder, with etiologies including bony adaptations (increased humeral retroversion), muscular tightness, and posterior Department of Orthopaedic and Traumatology, Sanglah General Hospital, Udayana University, Bali, Indonesia Received: 26 October 2018 Accepted: 30 November 2018 *Correspondence: Dr. Stedy Adnyana Christian, E-mail: saylovehoen@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Glenohumeral internal rotation deficit (GHIRD) is one of most controversial joint diseases in terms of diagnosis and treatment. The use of arthroscopy has improved the recognition of pathologic findings in glenohumeral internal rotation deficit (GHIRD) and allowed a better understanding of the etiology of it and the correlation between symptoms and lesion patterns. We present our technique for arthroscopic posterior-inferior capsular release in athlete with symptomatic glenohumeral internal rotation deficit (GIRD) that was unresponsive to nonoperative treatment and was preventing him from returning to sport. By this technique resulted in a successful outcome. We evaluate a 28 years old male with right shoulder pain and limitation in abduction internanal rotation after 3 months conservative treatment. We performed Arthrospcopic posterior-inferior capsular release. After 2 months correspondingly, we performed follow-up assessments on shoulder function (using the ases and rowe score) and pain (using a visual analogue scale) were made. Arthroscopic posterior-inferior capsular release can be recommended as a reasonable operative solution for overhead athletes with symptomatic GIRD that has not responden to conservative management. Evaluation of patient in whom we performed arthroscopic repair base on ases and rowe score. Arthroscopic posterior- inferior capsular release showed satisfactory shoulder function after 2 months follow up correspondingly. Keywords: Arthroscopic, Athlete, GHIRD, Posterior-inferior capsular DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20185397