Capsular Shift / Plication
A loose, redundant shoulder capsule is tightened by overlapping or suturing folds — restoring stability for patients with multidirectional instability or generalised joint laxity.
What is Capsular Shift / Plication?
Capsular Shift or Plication is a shoulder stabilisation procedure designed for patients with multidirectional instability or generalised joint hyperlaxity who experience recurrent painful subluxations or dislocations in more than one direction. Through arthroscopic or open approach, the redundant inferior, anterior or posterior capsule is tightened by overlapping or suturing tissue folds, reducing the volume of the joint pouch and restoring functional stability. Dr. Hithesh performs capsular shift in Hyderabad for carefully selected patients who have completed dedicated rehabilitation, providing reliable surgical solution where conservative therapy alone has not succeeded.
How the Procedure Works
Diagnostic Arthroscopy
Standard portals confirm multidirectional laxity, assess capsular redundancy patterns and rule out structural labral or bone abnormalities.
Capsule Mobilisation
Stretched inferior, anterior or posterior capsular tissue is gently freed and prepared for systematic surgical tightening procedure.
Plication Sutures
Sutures are placed to overlap and tighten redundant capsular folds, reducing joint volume and restoring proper static stability.
Multi-Directional Balancing
All redundant capsular zones are addressed in the same procedure to ensure balanced stability across every direction of laxity.
Closure & Rehabilitation
Portals are closed; sling support for 4–6 weeks, then graded passive and active motion under structured physiotherapy guidance.
Outcomes
Who Needs This Treatment?
- →Reduces multidirectional instability and recurrent painful subluxation episodes
- →Restores reliable shoulder stability for active daily living comfort
- →Three tiny keyhole portals leave minimal cosmetic scarring afterwards
- →Same-day or single-night admission for most patients comfortably
- →Returns patients to active living and recreational sport reliably
- →Effective surgical option after well-executed conservative rehabilitation has failed
Multidirectional instability is the trickiest puzzle in shoulder surgery. Patient selection matters more than technique here — operating only on those who've truly failed dedicated rehabilitation produces the most reliable outcomes long-term.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.