Watson Lyn, Pizzari Tania, Balster Simon, Lenssen Ross, Warby Sarah Ann
Melbourne Shoulder Group, 305 High Street, Prahran, VIC 3181, Australia.
Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Corner of Kingsbury Drive and Plenty Road Bundoora, Bundoora, VIC 2080, Australia.
J Clin Med. 2022 Aug 31;11(17):5140. doi: 10.3390/jcm11175140.
Multidirectional instability (MDI) of the glenohumeral joint refers to symptomatic subluxations or dislocations in more than one direction. The aetiology of MDI is multifactorial, which makes the classification of this condition challenging. A shoulder rehabilitation program is the initial recommended treatment for MDI, however available rehabilitation programs have varying levels of evidence to support their effectiveness. In 2016, we published the details of an evidence-based program for MDI that has been evaluated for efficacy in two single-group studies and a randomised controlled trial. In 2017, we published a clinical commentary on the aetiology, classification, and treatment of this condition. The aim of this paper is to provide an update on the components of these publications with a particular focus on new advances in the non-operative management of this condition.
肩关节多向不稳定（MDI）是指在多个方向上出现有症状的半脱位或脱位。MDI的病因是多因素的，这使得对这种病症进行分类具有挑战性。肩部康复计划是MDI最初推荐的治疗方法，然而现有的康复计划支持其有效性的证据水平各不相同。2016年，我们发表了一项针对MDI的循证计划的详细内容，该计划已在两项单组研究和一项随机对照试验中评估了疗效。2017年，我们发表了一篇关于这种病症的病因、分类和治疗的临床评论。本文的目的是更新这些出版物的内容，特别关注这种病症非手术治疗方面的新进展。
