Multidirectional instability of the shoulder: surgical techniques and clinical outcome
EFORT OPEN REVIEWS, cilt.7, sa.11, ss.772-781, 2022 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 7 Sayı: 11
- Basım Tarihi: 2022
- Doi Numarası: 10.1530/eor-22-0010
- Dergi Adı: EFORT OPEN REVIEWS
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.772-781
- Anahtar Kelimeler: multidirectional shoulder instability, open inferior capsular shift, arthroscopic capsular plication
- İstanbul Üniversitesi Adresli: Hayır
Özet
• 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.