• www.sportordination.at
  • www.sportordination.at
  • www.sportordination.at
  • www.sportordination.at
  • www.sportordination.at

Multidirectional instability

Multidirectional instabilities occur most commonly in the context of recurrent shoulder dislocation. We talk about recurrent shoulder dislocation if this occurs during typical movements, without injury. This very often concerns multidirectional instabilities. The following constitutional changes are responsible as the cause.

  • Anomalies in the capsular ligaments
  • Dysplastic cavity ratios
  • Intensified anteversion of the cavity, reduced retrotorsion of the head of the humerus
  • Congenital connective tissue weakness (Ehlers-Danlos syndrome, Marfan syndrome)
  • Incorrect muscular innervation


The initial dislocation in the case of recurrent shoulder dislocation is often in an anterior downwards direction and primarily occurs in adolescent patients without adequate trauma. The residual instability is often multidirectional and frequently painless. Random dislocations mostly occur in childhood.

TREATMENT:

 

The treatment for multidirectional instability is usually carried out without an operation. Attempts are made to strengthen the musculature in a targeted manner with physiotherapy to reduce the tendency to dislocation and subluxation. The indication for an operation in the first instance depends on the frequency of the recurrent dislocations and the extent of the subjective impairment.

 

Please note that medical indications and treatments change constantly. Sometimes these changes occur more rapidly than I am able to update on my homepage. Some information regarding dosage, prescription and compositions of medications may have changed in the meantime. Reading an internet page cannot replace visiting a doctor - it may be that during an examination and subsequent discussion with your doctor, other information is also communicated as a result of new scientific knowledge.