2022 AOSSM Annual Meeting Recordings with CME-Outcomes After Arthroscopic Pancapsular Shift for the Treatment of Multidirectional Glenohumeral Instability at a Mean 9 Year Follow-up

Outcomes After Arthroscopic Pancapsular Shift for the Treatment of Multidirectional Glenohumeral Instability at a Mean 9 Year Follow-up

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Video Transcription

Video Summary

In this video, the speaker discusses their research on arthroscopic treatment of multidirectional instability (MDI). MDI refers to instability in multiple directions and is challenging to diagnose and treat. The traditional treatment is non-operative, but many patients still experience pain and instability. The speaker discusses the development of arthroscopic treatment, which has shown promising results in decreasing capsular volume and addressing circumferential pathology. The speaker conducted a retrospective review of patients treated between 2005 and 2015, with a minimum of five-year follow-up. The study found that 28% of patients reported recurrent instability, 16% experienced a redislocation event, and 10% required reoperation. Patient-reported outcomes significantly improved from preoperative to final follow-up. The study concludes that arthroscopic treatment of MDI has a low rate of reoperation, and concerns about the long-term stability of the tissues are unfounded. The atraumatic phenotype of MDI has similar long-term outcomes to the traumatic phenotype.

Asset Caption

Jordan Gruskay, MD

Keywords

arthroscopic treatment

multidirectional instability

capsular volume

circumferential pathology

patient-reported outcomes