Skip to main content
SpringerLink
Log in

Multidirectional, Microinstability, and Acquired Instability

  • Chapter
  • First Online:
Arthroscopy

Abstract

The first choice should be a conservative treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. De Mey K, Danneels L, Cagnie B, Cools AM. Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms: effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med. 2012;40(8):1906–15.

    Article  PubMed  Google Scholar 

  2. Cools AM, Struyf F, De Mey K, Maenhout A, Castelein B, Cagnie B. Rehabilitation of scapular dyskinesis: from the office worker to the elite overhead athlete. Br J Sports Med. 2014;48(8):692–7.

    Article  PubMed  Google Scholar 

  3. Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology part III: the SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003;19(6):641–61.

    Article  PubMed  Google Scholar 

  4. De Mey K, Danneels LA, Cagnie B, Huyghe L, Seyns E, Cools AM. Conscious correction of scapular orientation in overhead athletes performing selected shoulder rehabilitation exercises: the effect on trapezius muscle activation measured by surface electromyography. J Orthop Sports Phys Ther. 2013;43(1):3–10.

    Article  PubMed  Google Scholar 

  5. Neer 2nd CS, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. A preliminary report. J Bone Joint Surg Am. 1980;62(6):897–908.

    PubMed  Google Scholar 

  6. Toth AP, Warren RF, Petrigliano FA, Doward DA, Cordasco FA, Altchek DW, O’Brien SJ. Thermal shrinkage for shoulder instability. HSS J. 2011;7(2):108–14.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Coobs BR, LaPrade RF. Severe chondrolysis of the glenohumeral joint after shoulder thermal capsulorrhaphy. Am J Orthop (Belle Mead NJ). 2009;38(2):E34–7.

    Google Scholar 

  8. Cohen S, Zabinski SJ, Hadley G, Warren RF. Revision shoulder stabilization 2- to 10-year. J Should Elb Surg. 1999;8:58–65.

    Article  Google Scholar 

  9. Millett PJ, Schoenahl J-Y, Register B, et al. Reconstruction of posterior glenoid deficiency using distal tibial osteoarticular allograft. Knee Surg Sports Traumatol Arthrosc. 2012;21:445–9.

    Article  PubMed  Google Scholar 

  10. Longo UG, Rizzello G, Loppini M, Locher J, Buchmann S, Maffulli N, Denaro V. Multidirectional instability of the shoulder: a systematic Review. Arthroscopy. 2015;31(12):2431–43. doi: 10.1016/j.arthro.2015.06.006.

    Google Scholar 

  11. Jacobson ME, Riggenbach M, Wooldridge AN, Bishop JY. Open capsular shift and arthroscopic capsular plication for treatment of multidirectional instability. Arthroscopy. 2012;28:1010–7.

    Article  PubMed  Google Scholar 

  12. Provencher MT, LeClere LE, King S, McDonald LS, Frank RM, Mologne TS, Ghodadra NS, Romeo AA. Posterior instability of the shoulder: diagnosis and management. Am J Sports Med. 2011;39(4):874–86.

    Article  PubMed  Google Scholar 

  13. Nordenson U, Garofalo R, Conti M, Linger E, Classon J, Karlsson J, Castagna A. Minor or occult shoulder instability: an intra-articular pathology presenting with extra-articular subacromial impingement symptoms. Knee Surg Sports Traumatol Arthrosc. 2011;19(9):1570–5.

    Article  PubMed  Google Scholar 

  14. Snyder SS. Diagnostic arthroscopy of the shoulder: normal anatomy and variations in Shoulder Arthroscopy. Lippincott Williams and Wilkins, Philadelphia, 2003.

    Google Scholar 

  15. Treacy SH, Savoie III FH, Field LD. Arthroscopic treatment of multidirectional instability. J Should Elb Surg. 1999;8:345–50.

    Article  CAS  Google Scholar 

  16. Steinbeck J, Jerosch J. Surgery for atraumatic anterior-inferior shoulder instability. A modified capsular shift evaluated in 20 patients followed for 3 years. Acta Orthop Scand. 1997;68:447–50.

    Article  CAS  PubMed  Google Scholar 

  17. Bak K, Spring BJ, Henderson JP. Inferior capsular shift procedure in athletes with multidirectional instability based on isolated capsular and ligamentous redundancy. Am J Sports Med. 2000;28:466–71.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Shoulder and Elbow Unit, IRCCS Humanitas, Rozzano, Milan, Italy

    Alessandro Castagna, Mario Borroni & Giacomo Delle Rose

Authors
  1. Alessandro Castagna
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mario Borroni
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Giacomo Delle Rose
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alessandro Castagna .

Editor information

Editors and Affiliations

  1. San Donato Milanese, Milano, Italy

    Pietro Randelli

  2. Lyon, France

    David Dejour

  3. Academic Med Ctr, Orthopedic Surger, Univ of Amsterdam, Amsterdam, The Netherlands

    C. Niek van Dijk

  4. Istituto Clinico Humanitas, Rozzano, Milan, Italy

    Matteo Denti

  5. Dept Orthopedic Surgery & Sports Meds, Ctr Hospitalier Clinique d’Eich, Luxemburg, Luxembourg

    Romain Seil

Rights and permissions

Reprints and permissions

Copyright information

© 2016 ESSKA

About this chapter

Cite this chapter

Castagna, A., Borroni, M., Rose, G.D. (2016). Multidirectional, Microinstability, and Acquired Instability. In: Randelli, P., Dejour, D., van Dijk, C., Denti, M., Seil, R. (eds) Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49376-2_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49376-2_39

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49374-8

  • Online ISBN: 978-3-662-49376-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation