Get the free Multidirectional Instability Capsular Plication Protocol

Dr. Joshua D. Harris Houston Methodist Hospital Center for Orthopedics & Sports Medicine Office: 7134418393 Fax: 7137905134 www.methodistorthopedics.com Multidirectional Instability / Capsular Placation

How to fill out multidirectional instability capsular plication

1. Multidirectional instability capsular plication is a surgical procedure used to treat individuals with recurrent shoulder dislocations or instability. This condition typically occurs when the shoulder joint's stabilizing ligaments become stretched or torn.
2. The procedure involves tightening the shoulder joint's capsule, which is a fibrous tissue that surrounds the joint and helps maintain its stability. By reinforcing the capsule, multidirectional instability can be addressed, reducing the likelihood of further dislocations.
3. To perform the capsular plication, the surgeon will make small incisions around the shoulder joint to access the capsule. They will then use sutures or anchors to gather and tighten the capsule in specific locations. This tightening prevents excessive humeral translation and stabilizes the shoulder joint.
4. Multidirectional instability capsular plication is typically recommended for individuals who have failed non-surgical treatments and who experience frequent shoulder dislocations or subluxations. It is often considered as a treatment option for patients who have generalized ligament laxity, such as those with conditions like Ehlers-Danlos syndrome or Marfan syndrome.
5. Before opting for the procedure, patients will undergo a thorough evaluation, including physical examinations, imaging tests such as X-rays or MRI, and in some cases, arthroscopic evaluation of the shoulder joint. Only after a comprehensive assessment will the surgeon determine if the patient is a suitable candidate for multidirectional instability capsular plication.
6. Post-surgery, patients will typically undergo a period of immobilization using a sling or brace to protect the repaired capsule. Physical therapy will play a crucial role in the recovery process, focusing on regaining shoulder strength, range of motion, and stability. The duration and intensity of post-operative rehabilitation will vary according to the specific needs of each patient.
7. It's important to note that multidirectional instability capsular plication is just one treatment option for addressing shoulder instability. Depending on the individual's case, alternative surgical techniques or non-surgical treatments may also be considered. Therefore, it is essential for patients to consult with a qualified orthopedic surgeon who specializes in shoulder conditions to determine the most appropriate course of action.

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What is multidirectional instability capsular plication?

Multidirectional instability capsular plication is a surgical procedure performed to tighten a loose shoulder joint capsule in order to improve stability and reduce the risk of dislocation.

Who is required to file multidirectional instability capsular plication?

Patients who have been recommended this surgical procedure by their orthopedic surgeon are required to undergo multidirectional instability capsular plication.

How to fill out multidirectional instability capsular plication?

Multidirectional instability capsular plication is a surgical procedure that is performed by a qualified orthopedic surgeon in a hospital setting.

What is the purpose of multidirectional instability capsular plication?

The purpose of multidirectional instability capsular plication is to improve stability and reduce the risk of dislocation in the shoulder joint.

What information must be reported on multidirectional instability capsular plication?

The information that must be reported on multidirectional instability capsular plication includes the patient's medical history, physical examination findings, imaging results, and surgical notes.

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