Promising Early Results of Inferior Glenohumeral Ligament Reconstruction In Patients With Multidirectional and Predominantly Inferior Shoulder Instability Require Further Validation.

Abstract

Multidirectional shoulder instability (MDI) is a complex condition. A plethora of surgical treatment options exists including labral repair, IGHL repair/reconstruction, inferior capsular shift, capsular plication/capsulorraphy, capsular reconstruction, rotator interval closure, subscapularis tenodesis, bone block transfer, and glenohumeral arthrodesis. Regardless of procedure choice, the odds of undergoing subsequent surgery are typically greater than those among patients without known connective tissue disorders. Since most treatment failures occur during the first three-years post-operatively, careful consideration should be given to minimum follow up periods in future studies.