AANA19 Shoulder Access Pass-Master Series_ Five Questions for Jeffrey Abrams, MD-Dr. Jeffrey S. Abrams, M.D.

Master Series_ Five Questions for Jeffrey Abrams, MD-Dr. Jeffrey S. Abrams, M.D.

Video Transcription

Video Summary

The discussion focuses on complex shoulder cases, including a 52-year-old mechanic with a massive rotator cuff tear and a 24-year-old Honor Guard member with posterior shoulder instability. For rotator cuff tears, the preferred approach is full repair if feasible, using tendon repair techniques enhanced by biceps tendon grafts and muscle incorporation. Options like reverse shoulder arthroplasty, tendon transfers, or superior capsular reconstruction are considered depending on age, tissue quality, and function. For posterior instability, precise anchor placement, labral mobilization, and soft tissue tensioning are crucial, with cautious use of bone grafting due to anatomical challenges. Rehabilitation emphasizes scapular control for optimal recovery.

Keywords

rotator cuff tear

shoulder arthroplasty

posterior shoulder instability

tendon repair techniques

scapular rehabilitation