1. Surgical Management of shoulder injuries
Dr Tim Dwyer MBBS PhD FRACS FRCSC
Assistant Professor, University of Toronto
Women’s College and Mt Sinai Hospital

2. Topics
Shoulder Instability Throwing shoulder SLAP ACJ

3. Shoulder Instability
Indication to treat
multiple dislocations
timing for athletes
History
sports

4. Examination
Sulcus / Beightons Anterior apprehension / Jobes Relocation Anterior Draw Posterior Apprehension

5. MRI
Labral tear Hill Sachs Bony Bankart

6. Scope

10. Arthroscopic Bankart v Latarjet
Arthroscopy
< 1/1000 infection
minimal risk NVI
95% success
Latarjet
1/100 risk infection
risk to musculocutaneous / axillary / brachial plexus
risk of non union / malunion
success > 95%