title: [Multi-directional instability of the shoulder; e new form of chronic shoulder instability].
abstract: This article describes multidirectional shoulder instability. This lesion is not rare and is easily overlooked. MDI is often caused by repeated minor injuries in athletic patients. The basic lesion in MDI is an enlarged joint volume. The diagnosis is based on the clinical picture. The sulcus sign is pathognomonic. Conservative treatment is the treatment of first choice. If complaints persist after one year of conservative treatment, a capsular shift as described by Neer is recommended.
authors.affiliation: Reinier de Graaf Gasthuis, afd. Orthopedie/Traumatologie, Delft.
authors.forename: R L
authors.initials: RL
authors.lastname: te Slaa
authors.forename: T E
authors.initials: TE
authors.lastname: Lim
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D010808:Physical Examination; D012783:Shoulder Dislocation / Q000150:complications; D012785:Shoulder Joint
vernacular_title: Multidirectionele instabiliteit van de schouder; een nieuwe vorm van chronische schouderinstabiliteit.