Shoulder Surgery: Is It the Answer for Multidirectional Instability?
Published: Aug 18, 2024
When physical therapy isn't enough, surgery might be an option for managing shoulder instability. Here's what you need to know about surgical procedures for MDI.
Contents
When is Surgery Necessary?
Surgery is considered when patients experience persistent pain or recurrent dislocations despite comprehensive physical therapy. This is especially true for athletes or individuals with significant shoulder trauma. Surgical intervention aims to stabilize the shoulder and prevent further damage.
Types of Surgical Procedures
Surgical options for MDI include open capsular repair and arthroscopic techniques. Open surgery has a high success rate, while advancements in arthroscopy offer less invasive alternatives. Both methods aim to reduce shoulder laxity and restore function with varying recovery times.

Post-Surgery Expectations
Recovery from shoulder surgery involves a period of immobilization followed by rehabilitation. Patients can expect to regain strength and stability with proper physical therapy. Though some may experience reduced shoulder mobility, most return to their previous activity levels.
Frequently Asked Questions
Surgery is considered if physical therapy fails to resolve pain or dislocations.
Open capsular repair and arthroscopy are common procedures for MDI.
Recovery includes immobilization and rehabilitation to regain strength and stability.
Key Takeaways
Surgery can be an effective solution for MDI, but it requires careful consideration and post-operative care.
References
- Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of multidirectional glenohumeral instability: 2- to 5-year follow-up. Arthroscopy 2001; 17:236.
- Baker CL 3rd, Mascarenhas R, Kline AJ, et al. Arthroscopic treatment of multidirectional shoulder instability in athletes: a retrospective analysis of 2- to 5-year clinical outcomes. Am J Sports Med 2009; 37:1712.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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