APEX Shoulder Mastering Surgical Techniques for Clinical Success-Posterior Instability

Posterior Instability_ Getting to the Back

Video Transcription

Video Summary

This talk addresses posterior shoulder instability, focusing on surgical approaches and repair techniques. Posterior instability, common in military and active populations, presents with pain and dysfunction often due to labral tears. The speaker prefers lateral decubitus positioning for circumferential shoulder access, using an anterior superior lateral portal for viewing and a posterior lateral or inferior portal for anchor placement at a 45-degree angle to the glenoid face. Repair techniques vary from simple labral sutures to pinch tuck methods for capsular laxity, using different suture types including knotless options. Balanced repair of labrum and capsule is critical to avoid over-constraint.

Asset Caption

Ian Lo, MD, FRCSC

Keywords

posterior shoulder instability

surgical repair techniques

labral tears

lateral decubitus positioning

capsular laxity repair