Neer technique of inferior capsular shift for shoulder instability. A, Reinforcement of capsular flaps; about half thickness of subscapularis tendon is left attached to reinforce capsule. B, Capsular incision. C, Preparation of flaps and slot. Arm is externally rotated as inferior flap is detached. D, Relocation of flaps with arm in slight flexion and 10 degrees of external rotation. Inferior flap (b) is relocated first and is pulled forward and upward. Superior flap (a) is brought down over inferior flap. SEE TECHNIQUE 47.8.