Multidirectional instability of the shoulder: surgical techniques and clinical outcome

Şahin K., Kendirci A. Ş., Albayrak M. O., Sayer G., Erşen A.

EFORT OPEN REVIEWS, vol.7, no.11, pp.772-781, 2022 (Scopus) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 11
  • Publication Date: 2022
  • Doi Number: 10.1530/eor-22-0010
  • Journal Name: EFORT OPEN REVIEWS
  • Journal Indexes: Scopus
  • Page Numbers: pp.772-781
  • Keywords: multidirectional shoulder instability, open inferior capsular shift, arthroscopic capsular plication
  • Istanbul University Affiliated: No

Abstract

• Multidirectional instability of the shoulder has a complex pathoanatomy. It is characterized by a redundant glenohumeral capsule and increased joint volume. • Subtle clinical presentation, unclear trauma history and multifactorial etiology poseses a great challenge for orthopedic surgeons in terms of diagnosis. • Generally accepted therapeutic approach is conservative and the majority of patients achieve good results with rehabilitation. • In patients who are symptomatic despite appropriate rehabilitation, surgical intervention may be considered. • Good results have been obtained with open inferior capsular surgery, which has historically been performed in these patients. • In recent years, advanced arthroscopic techniques have taken place in this field, and similar results compared to open surgery have been obtained with the less-invasive arthroscopic capsular plication procedure.