Beaumont Doctors Specializing in Sports Medicine Sports Medicine.

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Presentation transcript:

Beaumont Doctors Specializing in Sports Medicine Sports Medicine

Shoulder Surgery for Instability Arthroscopic vs. open Bankart repair Capsular shrinkage for subtle instability Open capsular shift for multidirectional instability SLAP repair for torn labrum or biceps anchor

Anatomy

Arthroscopy

Instability Traumatic (Unidirectional) versus Chronic (Multidirectional)

Instability Traumatic

NormalDislocated

Instability Traumatic NormalDislocated

Instability Traumatic MRI

Instability Traumatic

Bankart Repair - Open

Bankart Repair - Arthroscopic

Chronic or Multidirectional Instability

Capsular Shift - Open

Capsular Shrinkage - Arthroscopic

Associated Injuries

Axillary Nerve Stretch

Rotator Cuff Tear

SLAP Tear

SLAP Tear - Variants

SLAP Tear MRI

SLAP Tear NormalTorn

SLAP Debridement

SLAP Repair

Goal Shoulder that is pain free, does not dislocate, and can be trusted

Possible Risks and Complications Anesthetic Nerve or vessel injury Pain Stiffness Infection Continued instability

Rehab Initial degree of protection depends on procedure Typical protection period is 4 to 6 weeks Followed by physical therapy 3x/ week x 6 to 12 weeks Expect 3 to 6 months for full recovery

No surgery is ever guaranteed, but shoulder stabilization surgery is a highly successful