@article{article_190849, title={Multidirectional shoulder instability and open surgical procedures}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={39}, pages={83–89}, year={2006}, DOI={10.3944/aott.v39i0.583}, author={Ekin, Ahmet and Ozkan, Mustafa and Bolukbasi, Selcuk and Kanatli, Ulunay and Karci, Tolga}, keywords={joint instability/diagnosis;athletic injuries/surgery;biomechanics;joint instability/physiopathology;joint instability/surgery;joint instability/radiography;joint instability/therapy;range of motion, articular;shoulder joint/surgery}, abstract={The principles and procedures for multidirectional instability do not substantially differ from those for anterior instability. Correct diagnosis is difficult, but it is important for a successful treatment. Conservative treatment should be attempted before surgery. Open surgical treatment using the inferior capsular shift procedure is the gold standard. It can be carried out either anteriorly or posteriorly. We prefer a laterally-based capsular shift because it facilitates capsular plication.}, publisher={Turkish Association of Orthopaedics and Traumatology}