scholarly journals Arthroscopic Capsular Plication for Multidirectional Shoulder Instability in Hypermobile Ehlers-Danlos Syndrome Patients

2021 ◽  
Author(s):  
Victor Housset ◽  
Geoffroy Nourissat
Keyword(s):  
Shoulder Instability ◽  
Ehlers Danlos Syndrome ◽  
Capsular Plication ◽  
Danlos Syndrome ◽  
Arthroscopic Capsular Plication

Biomechanical and Proprioceptive Study of Atraumatic Shoulder Instability in Ehlers-Danlos Syndrome

2021 ◽  
Vol 30 (7) ◽  
pp. e463
Author(s):  
Marta Jokiel ◽  
Ewa Breborowicz ◽  
Aleksandra Bartkowiak ◽  
Anna Wachowiak ◽  
Przemyslaw Lubiatowski ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Ehlers Danlos Syndrome ◽  
Danlos Syndrome

scholarly journals Management of Shoulder Instability in Hypermobility Type Ehlers-Danlos Syndrome

2021 ◽  
Author(s):  
Samuel E. Broida ◽  
Aidan P. Sweeney ◽  
Michael B. Gottschalk ◽  
Eric R. Wagner
Keyword(s):  
Shoulder Instability ◽  
Ehlers Danlos Syndrome ◽  
Danlos Syndrome

scholarly journals Multidirectional Shoulder Instability: Treatment

2017 ◽  
Vol 11 (1) ◽  
pp. 812-825 ◽  
Author(s):  
Miguel Angel Ruiz Ibán ◽  
Jorge Díaz Heredia ◽  
Miguel García Navlet ◽  
Francisco Serrano ◽  
María Santos Oliete
Keyword(s):  
Physical Therapy ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Shoulder Instability ◽  
Relevant Literature ◽  
Anatomical Variations ◽  
Clear Understanding ◽  
Multidirectional Instability ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication

Background: The treatment of multidirectional instability of the shoulder is complex. The surgeon should have a clear understanding of the role of hiperlaxity, anatomical variations, muscle misbalance and possible traumatic incidents in each patient. Methods: A review of the relevant literature was performed including indexed journals in English and Spanish. The review was focused in both surgical and conservative management of multidirectional shoulder instability. Results: Most patients with multidirectional instability will be best served with a period of conservative management with physical therapy; this should focus in restoring strength and balance of the dynamic stabilizers of the shoulder. The presence of a significant traumatic incident, anatomic alterations and psychological problems are widely considered to be poor prognostic factors for conservative treatment. Patients who do not show a favorable response after 3 months of conservative treatment seem to get no benefit from further physical therapy. When conservative treatment fails, a surgical intervention is warranted. Both open capsular shift and arthroscopic capsular plication are considered to be the treatment of choice in these patients and have similar outcomes. Thermal or laser capsuloraphy is no longer recommended. Conclusion: Multidirectional instability is a complex problem. Conservative management with focus on strengthening and balancing of the dynamic shoulder stabilizers is the first alternative. Some patients will fare poorly and require either open or arthroscopic capsular plication.

Capsulorraphy with Achilles allograft augmentation for shoulder instability in patients with Ehlers-Danlos syndrome

2020 ◽  
Author(s):  
Tom J. Schoorl ◽  
Ngoc Tram V. Nguyen ◽  
Arthur van Noort ◽  
Tjarco D.W. Alta ◽  
Joaquin Sanchez-Sotelo
Keyword(s):  
Shoulder Instability ◽  
Ehlers Danlos Syndrome ◽  
Danlos Syndrome

Arthroscopic Capsular Plication for Microtraumatic Anterior Shoulder Instability in Overhead Athletes

2012 ◽  
Vol 40 (9) ◽  
pp. 2009-2014 ◽  
Author(s):  
Kristofer J. Jones ◽  
Cynthia A. Kahlenberg ◽  
Christopher C. Dodson ◽  
Denis Nam ◽  
Riley J. Williams ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Overhead Athletes ◽  
Capsular Plication ◽  
Arthroscopic Capsular Plication
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