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Koray Şahin Bezmialem Vakif University, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Alper Şükrü Kendirci Erciş Şehit Rıdvan Çevik State Hospital, Department of Orthopedics and Traumatology, Van, Turkey

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Muhammed Oğuzhan Albayrak Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Gökhan Sayer Muş State Hospital, Department of Orthopedics and Traumatology, Muş, Turkey

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Ali Erşen Istanbul University Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey

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Introduction Multidirectional instability (MDI) of the shoulder was first described by Neer and Foster as instability of the shoulder to more than one direction, without the history of trauma or following minimal trauma ( 1 ). Although

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Victor Housset Clinique de l'épaule, Clinique Maussins-Nollet, Paris, France

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Sean Wei Loong Ho Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, Hôpital de La Tour, Meyrin, Switzerland
FORE (Foundation for Research and Teaching in Orthopedics, Sports Medicine, Trauma, and Imaging in the Musculoskeletal System), Meyrin, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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Sean Kean Ann Phua Department of Orthopedic Surgery, Tan Tock Seng Hospital, Singapore

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Si Jian Hui Department of Orthopaedic Surgery, National University Health System, Singapore

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Geoffroy Nourissat Clinique de l'épaule, Clinique Maussins-Nollet, Paris, France

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Introduction Multidirectional instability (MDI) of the shoulder is a complex and a rare condition. The incidence of MDI is thought to be low, although the exact incidence is difficult to establish due to the variations in diagnostic criteria

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Michele Boffano Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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Stefano Mortera Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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Raimondo Piana Oncology and Reconstructive Department, CTO Hospital, AOU Citta’ della Salute e della Scienza, Turin, Italy

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, a marked shift from open shoulder stabilisation to arthroscopic surgery has occurred. 22 The Latarjet procedure (open and arthroscopic) ( Figs 3 and 4 ) is a well-recognised and accepted technique for surgical treatment of anterior instability

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Alp Paksoy Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Doruk Akgün Charité University Hospital, Center for Musculoskeletal Surgery, Augustenburger Platz 1, Berlin, Germany

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Sebastian Lappen Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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Philipp Moroder Schulthess Klinik, Lengghalde 2, Zurich, Switzerland

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Cazzato G & Milano G . Generalized joint laxity and multidirectional instability of the shoulder . Joints 2013 1 171 – 179 . ( https://doi.org/10.11138/jts/2013.1.4.171 ) 42 Owen JM Boulter T Walton M Funk L & Mackenzie TA

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Abdul-ilah Hachem Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Andres Molina-Creixell Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico

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Xavier Rius Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Karla Rodriguez-Bascones Department of Orthopedic Surgery, Asepeyo Hospital, Barcelona, Spain

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Francisco Javier Cabo Cabo Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Jose Luis Agulló Department of Orthopedic Surgery, Bellvitge University Hospital, L’Hospitalet de Llobregat, Barcelona, Spain

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Miguel Angel Ruiz-Iban Ramón y Cajal University Hospital, Madrid, Spain

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, climbers, and weightlifters, its incidence can be much higher, representing up to 24% of all young and active patients that are treated surgically for shoulder instability ( 2 , 3 , 4 ). The structural and biomechanical characteristics of posterior

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Abdelkader Shekhbihi Department of Trauma Surgery, Lörrach District Hospital, Baden-Württemberg, Lörrach, Germany

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Stefan Bauer Ensemble Hospitalier de la Côte, Morges, Switzerland.
School of Surgery, University of Western Australia, Perth, Australia

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Arnaud Walch Chirurgie Orthopédique et Traumatologique du Membre Superieur, Hopital Edouard Herriot, Lyon, France

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Winfried Reichert Department of Trauma Surgery, Lörrach District Hospital, Baden-Württemberg, Lörrach, Germany

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Gilles Walch Ramsay Générale de Santé, Hôpital privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France

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Pascal Boileau Department of Orthopaedics and Sports Surgery, University Institute of Locomotion and Sports, Nice, France

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JY Levigne C & Nové-Josserand L . Instabilité antérieure récidivante avec hyperlaxité multidirectionnelle de l’épaule (Recurrent anterior and multidirectional instability of the shoulder) . Revue de Chirurgie Orthopédique et Reparatrice de l

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick J. Denard Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA

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Philippe Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint- Grégoire, France

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Mohamed Ibrahim Department of Orthopaedics and Trauma Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt

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Pierre Hoffmeyer Hirslanden Clinique des Grangettes, Geneva, Switzerland

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland
Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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JY Levigne C Nove-Josserand L . Recurrent anterior and multidirectional instability of the shoulder . Rev Chir Orthop Repar Appar Mot 1995 ; 81 : 682 – 690 . 13. Gagey OJ Gagey N . The

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Emilio Calvo Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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María Valencia Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Antonio Maria Foruria Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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Juan Aguilar Gonzalez Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain

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biceps suspensionplasty for recurrent multidirectional shoulder instability . Journal of Orthopaedics 2020 22 473 – 477 . ( https://doi.org/10.1016/j.jor.2020.10.009 ) 10.1016/j.jor.2020.10.009 40. Collin P Nabergoj M Denard PJ Wang S Bothorel

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Hubert Laprus St Luke’s Hospital, Bielsko-Biala, Poland
Dworska Hospital, Kraków, Poland
Hospital in Proszowice, Poland

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Bartłomiej Juszczak University Children’s Hospital in Kraków, Poland

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Roman Brzóska St Luke’s Hospital, Bielsko-Biala, Poland

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Adrian Błasiak St Luke’s Hospital, Bielsko-Biala, Poland

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Ion-Andrei Popescu Romanian Shoulder Institute -ORTOPEDICUM, Bucharest, Romania

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Przemysław Lubiatowski Rehasport Clinic, Poznań, Poland

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supplementary role in shoulders with rotator cuff tears ( 15 ) or in patients with multidirectional instability ( 16 ). Others, on the contrary, indicate a minimal role of LHBT in glenohumeral joint stability ( 17 ), grip test strength ( 18 ), or biceps activity

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Stefan Bauer Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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Taro Okamoto Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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Stephanie M Babic Royal Perth Hospital, Perth, Western Australia, Australia

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Jonathon C Coward Royal Perth Hospital, Perth, Western Australia, Australia

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Charline M P L Coron Chirurgie de l’Épaule, Service d’Orthopédie et Traumatologie, Ensemble Hospitalier de la Côte, Morges, Switzerland

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William G Blakeney Royal Perth Hospital, Perth, Western Australia, Australia

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a simplification of multidirectional shoulder balance and force coupling. Since there are insufficient static restraints in any direction, 360° around the centre of the glenoid apart from the acromion and coracoacromial arch, which contribute to

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