If you turn an object 180 degrees about the vertical axis the orientation becomes unstable. If you return the object to its original orientation, stability is no longer a problem.
This video demonstrated the problem. http://www.youtube.com/watch?v=ke9-LDgGPF4
I don't think it is a case of not all the marker getting tracked correctly as this screenshot shows all markers in clear view. The history of orientations shows the jitter.

I have tried setting the flexibility and acceptable marker deflection to their minimum values but this does not solve the problem.
This problem doesn't occur if I only use 3 markers, but I would like to avoid that in case one of those markers gets occluded while I'm tracking.