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Multidirectional instability of the shoulder has a complex pathoanatomy. It is characterized by a redundant glenohumeral capsule and increased joint volume.
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Subtle clinical presentation, unclear trauma history and multifactorial etiology poseses a great challenge for orthopedic surgeons in terms of diagnosis.
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Generally accepted therapeutic approach is conservative and the majority of patients achieve good results with rehabilitation.
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In patients who are symptomatic despite appropriate rehabilitation, surgical intervention may be considered.
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Good results have been obtained with open inferior capsular surgery, which has historically been performed in these patients.
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In recent years, advanced arthroscopic techniques have taken place in this field, and similar results compared to open surgery have been obtained with the less-invasive arthroscopic capsular plication procedure.