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European Journal of Orthopaedic Surgery & Traumatology

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01.08.2015 | General Review • SHOULDER - INSTABILITY

Multidirectional instability of the shoulder: biomechanics, clinical presentation, and treatment strategies

verfasst von: Giovanni Merolla, Simone Cerciello, Claudio Chillemi, Paolo Paladini, Elisa De Santis, Giuseppe Porcellini

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 6/2015

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Abstract

Multidirectional instability (MDI) of the shoulder is a condition where the dislocation occurs in more than one direction with minimal or no causative trauma. Its pathoanatomy is complex and characterized by a redundant capsule, resulting in increased glenohumeral joint volume. The fact that several further factors may contribute to symptom onset complicates the diagnosis and hampers the identification of a therapeutic approach suitable for all cases. There is general agreement that the initial treatment should be conservative and that surgery should be reserved for patients who have not responded to an ad hoc rehabilitation program. We review the biomechanics, clinical presentation, and treatment strategies of shoulder MDI.

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Titel: Multidirectional instability of the shoulder: biomechanics, clinical presentation, and treatment strategies
verfasst von: Giovanni Merolla
Simone Cerciello
Claudio Chillemi
Paolo Paladini
Elisa De Santis
Giuseppe Porcellini
Publikationsdatum: 01.08.2015
Verlag: Springer Paris
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 6/2015
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-015-1606-5

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Multidirectional instability of the shoulder: biomechanics, clinical presentation, and treatment strategies

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