Pancapsular Shift for Multidirectional Instability

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


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.


Shoulder instability Multidirectional Capsular plication 

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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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