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, cilt.7, sa.11, ss.772-781, 2022 (Scopus) identifier identifier identifier identifier

  • 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.