APEX Foundations in Arthroscopy Basic Lectures-Instability

Video Transcription

Video Summary

The presentation discusses techniques for labral repair, emphasizing proper patient positioning, anatomy, and surgical portals for addressing superior, anterior, and posterior labral tears. Positioning in beach chair or lateral decubitus is crucial for exposure and safety. Understanding labral variations and SLAP tear classifications guides treatment decisions; isolated SLAP repairs have mixed outcomes, especially in patients over 40. For anterior instability, arthroscopic Bankart repair is preferred in patients with no significant bone loss, with meticulous portal placement and capsular shifting for successful outcomes. Posterior repairs use similar portals and techniques to tighten the capsule. Imaging, including specialized X-rays and CT, is important to assess bone loss before surgery. Meta-analyses suggest lateral decubitus positioning may reduce recurrent instability. Overall, success depends on thorough assessment, precise portal creation, effective labral mobilization, and repair techniques tailored to individual pathology and patient anatomy.

Asset Caption

Dr. William Ciccone

Keywords

labral repair

patient positioning

arthroscopic Bankart repair

SLAP tear classification

posterior labral repair

imaging for bone loss