Arthroscopic management of multidirectional instability: pancapsular plication.
Patients with multidirectional glenohumeral instability without a Bankart lesion represent a challenging group. Arthroscopic pancapsular plication affords the surgeon flexibility to correct the degree and direction of laxity in the multidirectionally unstable patient. This technique can be combined with suture anchors if needed to correct capsulolabral defects in patients with more advanced lesions. The mainstay of treatment for MDI remains conservative. In resistant cases, however, arthroscopic management can be performed safely and efficaciously, now with documented extended success in an active patient population.
The Southern California Orthopedic Institute, 6815 Noble Avenue, Van Nuys, CA 91405, USA.
Michael
M
Hewitt
Mark H
MH
Getelman
Stephen J
SJ
Snyder
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D017746:Joint Capsule / Q000601:surgery; D007593:Joint Instability / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D012783:Shoulder Dislocation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology; D016896:Treatment Outcome