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Management of multidirectional instability of the shoulder.

Publication ,  Journal Article
Gaskill, TR; Taylor, DC; Millett, PJ
Published in: J Am Acad Orthop Surg
December 2011

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.

Duke Scholars

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

December 2011

Volume

19

Issue

12

Start / End Page

758 / 767

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Suture Techniques
  • Shoulder Joint
  • Postoperative Care
  • Physical Examination
  • Orthopedics
  • Magnetic Resonance Imaging
  • Joint Instability
  • Joint Capsule
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gaskill, T. R., Taylor, D. C., & Millett, P. J. (2011). Management of multidirectional instability of the shoulder. J Am Acad Orthop Surg, 19(12), 758–767. https://doi.org/10.5435/00124635-201112000-00006
Gaskill, Trevor R., Dean C. Taylor, and Peter J. Millett. “Management of multidirectional instability of the shoulder.J Am Acad Orthop Surg 19, no. 12 (December 2011): 758–67. https://doi.org/10.5435/00124635-201112000-00006.
Gaskill TR, Taylor DC, Millett PJ. Management of multidirectional instability of the shoulder. J Am Acad Orthop Surg. 2011 Dec;19(12):758–67.
Gaskill, Trevor R., et al. “Management of multidirectional instability of the shoulder.J Am Acad Orthop Surg, vol. 19, no. 12, Dec. 2011, pp. 758–67. Pubmed, doi:10.5435/00124635-201112000-00006.
Gaskill TR, Taylor DC, Millett PJ. Management of multidirectional instability of the shoulder. J Am Acad Orthop Surg. 2011 Dec;19(12):758–767.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

December 2011

Volume

19

Issue

12

Start / End Page

758 / 767

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Suture Techniques
  • Shoulder Joint
  • Postoperative Care
  • Physical Examination
  • Orthopedics
  • Magnetic Resonance Imaging
  • Joint Instability
  • Joint Capsule
  • Humans