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Neer described the inferior capsular shift for the treatment of multidirectional instability of the shoulder in a landmark article published in 1980. This procedure is an anatomic approach that directly corrects pathologic capsular laxity and allows assessment and treatment of associated labral tears. The inferior-capsular shift is a versatile procedure that can be used to selectively address varying degrees of instability in terms of direction and magnitude. This technique has been demonstrated to be a reliable procedure in carefully selected patients with multidirectional instability of the shoulder.