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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Published on: September 18, 2020

Multidirectional instability: evaluation and treatment options.

Maher J Bahu¹, Natasha Trentacosta, George Christian Vorys

¹Center for Shoulder, Elbow, and Sports Medicine, Department of Orthopaedic Surgery, Columbia University, 622 West 168th Street, New York, NY 10032, USA.

Clinics in Sports Medicine

|December 10, 2008

Summary

This summary is machine-generated.

Multidirectional shoulder instability involves symptoms in multiple directions, often seen in those with ligamentous laxity or repetitive overhead activities. Treatment begins with physical therapy, progressing to surgery if conservative methods fail.

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Area of Science:

Orthopedics
Sports Medicine
Biomechanics

Background:

Multidirectional instability (MDI) of the shoulder presents with symptoms in more than one direction.
Patients often exhibit generalized ligamentous laxity.
Repetitive overhead activities are frequently associated with MDI.

Purpose of the Study:

To define multidirectional shoulder instability.
To outline the typical patient profile and associated factors.
To describe the treatment pathway for MDI.

Main Methods:

Review of existing literature on shoulder instability.
Clinical observation of patients with MDI.
Analysis of treatment outcomes for conservative and surgical interventions.

Main Results:

MDI is characterized by instability across multiple planes.
Generalized ligamentous laxity is a common comorbidity.
Physical therapy is the primary non-operative treatment approach.

Conclusions:

Non-operative management with physical therapy is the initial treatment of choice for MDI.
Surgical stabilization (arthroscopic or open) is indicated for patients who do not respond to conservative care.