APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-MDI: Balancing the Shoulder All the Way Around

MDI: Balancing the Shoulder All the Way Around

Video Transcription

Video Summary

In this video, the speaker discusses multidirectional instability of the shoulder. They highlight the importance of understanding the pathology and role of the labrum capsule and interval in this syndrome. They mention that stabilization of the shoulder requires reducing inferior capsular volume, tightening both anteriorly and posteriorly, and over-sewing the rotator interval. The speaker acknowledges the work of Dr. Neer and others in introducing the concept of inferior capsular shift for this condition. They emphasize the need for symptomatic inferior and anterior-posterior translation to diagnose multidirectional instability. The video also covers surgical techniques, including suture pleats and anchor shifting, as well as rotator interval closure. Rehabilitation and a protracted recovery period are mentioned as key components of post-operative care.

Asset Caption

Robert Litchfield, M.D.

Keywords

multidirectional instability

shoulder

labrum capsule

inferior capsular shift

rehabilitation