2021 Annual Meeting Shoulder Access Pass-Case Panel: My Worst Complications-Panel

Video Transcription

Video Summary

The panel discussed AC joint repair, emphasizing careful post-op rehab to avoid stiffness and advising no arm elevation above 90 degrees for 4-6 weeks. They prefer preserving the distal clavicle to maintain stability, treating arthritis-related pain later arthroscopically. Avoiding coracoid fractures during surgery is crucial; alternatives include graft passage through the supraspinous fossa. Extending allografts to the AC joint can add support but requires careful fixation. Operative decisions depend on instability and symptoms, with many Type III and V injuries managed non-operatively initially. Arthroscopic subscapularis repairs prevail unless tears are massive. Overall, individualized treatment balances complication risks and functional outcomes.

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Craig Bottoni, MD; Frank Cordasco, MD, MS; Jan Fronek, MD; Mark Getelman, MD; John Kelly, MD; Jonathan Ticker, MD

Keywords

AC joint repair

post-op rehabilitation

distal clavicle preservation

coracoid fracture avoidance

arthroscopic subscapularis repair