ABSTRACT
Neer and Foster (1) described a open inferior capsular shift for patients with symptomatic multidirectional instability (MDI), which quickly became a mainstay of treatment after documented failure of nonoperative management. Since that time, other surgeons have replicated this technique, or variations upon it, with equally satisfactory results, and the inferior capsular shift has remained the gold standard of MDI treatment for years. However, with the advent of minimally invasive surgery and its associated emphasis on maximizing surgical outcomes while minimizing surgery-related morbidities, numerous arthroscopic techniques to address glenohumeral pathology traditionally treated by open methods have evolved, and the arthroscopic capsular shift is not an exception.
