Management of multidirectional instability of the shoulder.

Journal Article (Journal Article;Review)

Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain and decreased athletic performance are common presenting complaints. Clinical suspicion for instability is essential for timely diagnosis. Several examination techniques can be used to identify increased glenohumeral translation. It is critical to distinguish increased laxity from instability. Initial management begins with therapeutic rehabilitation. If surgical management is required, capsular plication has been used successfully. Advanced arthroscopic techniques offer several advantages over traditional open approaches and may have similar outcomes. The role of rotator interval capsular plication is controversial, but it may be used to augment capsular plication in patients with specific patterns of instability. Despite encouraging results, outcomes remain inferior to those associated with traumatic unidirectional instability.

Full Text

Duke Authors

Cited Authors

  • Gaskill, TR; Taylor, DC; Millett, PJ

Published Date

  • December 2011

Published In

Volume / Issue

  • 19 / 12

Start / End Page

  • 758 - 767

PubMed ID

  • 22134208

International Standard Serial Number (ISSN)

  • 1067-151X

Digital Object Identifier (DOI)

  • 10.5435/00124635-201112000-00006


  • eng

Conference Location

  • United States