S/P Multidirectional instability (PAN Capsular Plication) of the Shoulder

Definition:
Arthroscopic pancapsular plication affords the surgeon flexibility to correct the degree and direction of laxity in the multidirectionally unstable patient. This technique can be combined with suture anchors if needed to correct capsulolabral defects in patients with more advanced lesions.
Purchase 3 Phases

Symptoms
  • Multiple shoulder dislocations
  • Non-specific pain in the shoulder
  • “Dead-arm” feeling
  • Pain when arm is lifted above 90 degrees
Causes
  • Fall onto shoulder
  • Sports injury
  • Overhead throwing athletes
  • Overuse
  • Shoulder dislocation
  • Shoulder instability due to bony anatomy or laxity in ligaments
  • Tear of rotator cuff or labrum
Treatment
  • Period of immobilization
  • Progress to shoulder ROM and stretching
  • Shoulder stabilization exercises
  • Posture program
S/P Multidirectional instability (PAN Capsular Plication) of the Shoulder Phase I

Purchase Phase

  • Pendulums
  • Passive Shoulder Flexion
  • Passive Shoulder Abduction
  • Passive Shoulder External Rotation
  • Passive ER With Stick
  • Restorative Shoulder Quadrant
  • Table Slides
  • Shoulder Sitting Posture
  • Scap Squeezes
  • Walkfit
  • WalkFit Program
  • SP Multidirectional Instability PAN Capsular_Plication

S/P Multidirectional instability (PAN Capsular Plication) of the Shoulder Phase II

Purchase Phase

  • Tband Shoulder Er At Zero Deg
  • Tband Shoulder Er At 90 Deg
  • Push Up Knee Holds
  • Prone Rotator Cuff Circuit
  • Wall Slides
  • T Band Wall Push W ER
  • Superman Holds
  • Curl Press

S/P Multidirectional instability (PAN Capsular Plication) of the Shoulder Phase III

Purchase Phase

  • Push Ups
  • Hummers
  • Sumo Flies 3 Positions
  • Wall Slides
  • Prone Rows
  • Single Arm Push Up Holds
  • Push Up Hand Fire