Multidirectional Instability: Suture Plication Technique
Multidirectional shoulder instability (MDI), first described by Neer and Foster in 1980, is due to the presence of inferior instability in combination with anterior and/or posterior instability. Although Matsen has characterized MDI as atraumatic in etiology, others have noted an association between MDI and repetitive trauma. Recent attention on the rotator interval has suggested its possible role in MDI as well.
KeywordsRotator Cuff Humeral Head Posterior Capsule Rotator Interval Posterior Portal
Unable to display preview. Download preview PDF.
- 3.McIntyre LF, Caspari RB, Savoie FH. The arthroscopic treatment of multidirectional shoulder instability: two-year results of a multiple suture technique. Arthroscopy 1997;13(4:418–425.Google Scholar
- 6.Treacy SH, Field LD, Savoie FH. Rotator interval capsule closure: an arthroscopic technique. Arthroscopy 1997; 13(1:103–106.Google Scholar
- Altchek DW, Warren R. T-plasty modification of the Bankart procedure for multidirectional instability of the anterior inferior type. J Bone Joint Surg Am 1990; 73: 105–112.Google Scholar
- Savoie FH, Caspari RB. Instability of the shoulder: superior, posterior, and multidirectional In: McGinty JB, Caspari RB, Jackson RW, et al., eds. Operative Arthroscopy. New York: Raven Press, 1991: 709–723.Google Scholar
- Matsen FA III, Thomas SC, Rockwood CA Jr. Anterior glenohumeral instability. In: Rockwood CA Jr, Matsen FA III, eds. The Shoulder. Philadelphia: WB Saunders; 1990: 526–622.Google Scholar
- Snyder SJ, Stafford BB. Arthroscopic management of insta- bility of the shoulder. Orthopedics 1993; 16: 513–517.Google Scholar