Editorial Commentary: Promising Early Results of Inferior Glenohumeral Ligament Reconstruction in Patients With Multidirectional and Predominantly Inferior Shoulder Instability Require Further Validation.

Multidirectional shoulder instability is a complex condition. A plethora of surgical treatment options exists including labral repair, inferior glenohumeral ligament repair/reconstruction, inferior capsular shift, capsular plication/capsulorrhaphy, capsular reconstruction, rotator interval closure, subscapularis tenodesis, bone block transfer, and glenohumeral arthrodesis. Regardless of procedure choice, the odds of undergoing subsequent surgery typically are greater than those among patients without known connective tissue disorders. Since most treatment failures occur during the first 3 years postoperatively, careful consideration should be given to minimum follow up periods in future studies.