2021 Annual Meeting Shoulder Access Pass-Lessons Learned in Posterior Instability

Lessons Learned in Posterior Instability

Video Transcription

Video Summary

The speaker reviews 29 years of research on posterior shoulder instability, emphasizing its prevalence in athletes, especially throwers, and the complexity involving muscular imbalances, bone loss, and labral tears. Key findings include the significance of posterior injuries over anterior ones, the distinct pathology in throwers versus contact athletes, and the importance of accurate imaging and specific surgical techniques using suture anchors and tapes. Outcomes vary, with contact athletes showing better return-to-play rates than throwers. Surgery indications and revision risk factors are discussed, highlighting smaller glenoid size and female sex as concerns. Arthroscopic treatment is effective, outperforming open surgery in many cases.

Asset Caption

Dr. James Bradley

Keywords

posterior shoulder instability

athletes

throwers

surgical techniques

arthroscopic treatment