A paper regarding the optimal management of multidirectional shoulder instability published by Dr. Raynor and Dr. Millett was in the news.
Patients with multidirectional instability of the shoulder experienced an effective and safe treatment with arthroscopic pancapsular capsulorrhaphy with suture anchors at middle-term follow-up in a cohort study.
In the study, multidirectional instability (MDI) was defined clinically as symptomatic instability in more than one direction, one of which was inferior. Surprisingly to the investigators, about 64% of the patients studied had labral detachments and these were also seen in patients with the more classic atraumatic onset of multidirectional glenohumeral instability, according to the findings.
“The most important finding is that arthroscopic pancapsular capsulorrhaphy [APC] can be effective for treating these patients with these complex instability patterns of the shoulder,” Peter J. Millett, MD, MSc, of the Steadman Clinic in Vail, Colo., told Orthopedics Today.