Nonoperative management Surgery
Neer and Foster2 reported the first series of MDI patients in 1980 and coined the term that remains in use today. However, the exact definition of MDI is not clear. MDI may be defined as the ability to dislocate or subluxate the glenohumeral joint in three directions (anteriorly, inferiorly, and posteriorly) with reproduction of symptoms in one or more of these directions.2 Some authors believe that MDI patients have a primary direction of symptomatic instability in conjunction with other areas of significant laxity. However, these patients rarely present with complete or global symptomatic laxity.3 It is important to recognize the difference between laxity (joint mobility objectively described) and instability (an abnormal increase in glenohumeral translation that causes symptoms).1,3,4 Although treated as a distinct entity, MDI may represent the extreme on a graduated spectrum of joint laxity.5 The distinction between traditional anteroinferior shoulder instability and MDI can be subtle and spotlights the importance of the clinical examination in differentiating the two.
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Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.