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Pancapsular Shift for Multidirectional Instability

  • Salvatore J. Frangiamore
  • Prem N. Ramkumar
  • Erik M. Fritz
  • Sandeep Mannava
  • Peter J. Millett
Chapter

Abstract

Management of multidirectional instability (MDI) of the shoulder remains a challenge. The arthroscopic treatment of MDI is used to improve glenohumeral stability, decrease laxity, and repair any damaged labral tissue. Capsular plication can be used to effectively reduce capsular volume incrementally which improves overall glenohumeral stability by deepening the glenoid concavity and reducing capsular laxity. This surgery alters shoulder biomechanics by constraining the capsuloligamentous structures.

Keywords

Shoulder instability Multidirectional Capsular plication 

Recommended Literature

  1. 1.
    Gaskill TR, Taylor DC, Millett PJ. Management of multidirectional instability of the shoulder. J Am Acad Orthop Surg. 2011;19:758–67.CrossRefGoogle Scholar
  2. 2.
    Neer CS II, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder: a preliminary report. J Bone Joint Surg Am. 1980;62(6):897–908.CrossRefGoogle Scholar
  3. 3.
    Gerber C, Nyffeler RW. Classification of glenohumeral joint instability. Clin Orthop Relat Res. 2002;400:65–76.CrossRefGoogle Scholar
  4. 4.
    Kim SH, Kim HK, Sun JI, Park JS, Oh I. Arthroscopic capsulolabroplasty for posteroinferior multidirectional instability of the shoulder. Am J Sports Med. 2004;32(3):594–607.CrossRefGoogle Scholar
  5. 5.
    McFarland EG, Kim TK, Park HB, Neira CA, Gutierrez MI. The effect of variation in definition on the diagnosis of multidirectional instability of the shoulder. J Bone Joint Surg Am. 2003;85(11):2138–44.CrossRefGoogle Scholar
  6. 6.
    Alpert JM, Verma N, Wysocki R, Yanke AB, Romeo AA. Arthroscopic treatment of multidirectional shoulder instability with minimum 270 degrees labral repair: minimum 2-year follow-up. Arthroscopy. 2008;24(6):704–11.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Salvatore J. Frangiamore
    • 1
  • Prem N. Ramkumar
    • 2
  • Erik M. Fritz
    • 3
  • Sandeep Mannava
    • 4
  • Peter J. Millett
    • 5
  1. 1.Summa Health Orthopaedics and Sports MedicineAkronUSA
  2. 2.Department of OrthopedicsCleveland ClinicClevelandUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Department of Orthopedics and Rehabilitation, Division of Sports Medicine, Division of Shoulder and Elbow SurgeryUniversity of RochesterRochesterUSA
  5. 5.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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