title: [Multidirectional shoulder instability and open surgical procedures].
abstract: The principles and procedures for multidirectional instability do not substantially differ from those for anterior instability. Correct diagnosis is difficult, but it is important for a successful treatment. Conservative treatment should be attempted before surgery. Open surgical treatment using the inferior capsular shift procedure is the gold standard. It can be carried out either anteriorly or posteriorly. We prefer a laterally-based capsular shift because it facilitates capsular plication.
authors.affiliation: Dokuz Eylül Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Balçova, Izmir. ahmet.ekin@deu.edu.tr
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ekin
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozkan
authors.forename: Selçuk
authors.initials: S
authors.lastname: Bölükbaşi
authors.forename: Ulunay
authors.initials: U
authors.lastname: Kanatli
authors.forename: Tolga
authors.initials: T
authors.lastname: Karci
mesh_terms: D006801:Humans; D007593:Joint Instability / Q000473:pathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D012783:Shoulder Dislocation / Q000473:pathology / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*