Scope Essentials 2024-Arthroscopic & Open Treatment of Multidirectional Instability

Arthroscopic & Open Treatment of Multidirectional Instability

Video Transcription

Video Summary

Dr. Nick Traslini discusses surgical management of multidirectional shoulder instability, differentiating laxity from instability and emphasizing thorough clinical evaluation using tests like the load and shift, sulcus, and jerk tests. He highlights arthroscopic capsular labral plication as a modern alternative to the open capsular shift, aiming to restore labral bumper, re-tension ligaments, and reduce capsular volume. Surgery indications include traumatic and chronic instability unresponsive to physical therapy. Outcomes show low revision rates and high satisfaction. In severe or revision cases, reconstructive options like capsular augmentation are used. Non-operative therapy remains the initial treatment mainstay before considering surgery.

Asset Caption

Nicholas Trasolini, M.D.

Keywords

multidirectional shoulder instability

arthroscopic capsular labral plication

clinical evaluation shoulder tests

surgical management shoulder instability

capsular augmentation reconstruction