APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Biceps

Video Transcription

Video Summary

In this panel discussion, experts address complex shoulder pathologies, particularly focusing on biceps-related issues, labral tears, and surgical techniques. They present cases including a 44-year-old active-duty soldier with atraumatic anterior shoulder pain, discussing diagnosis challenges, the role of MRI versus clinical exams, and treatment options like biceps tenodesis. Various tenodesis techniques are explored, including arthroscopic and subpectoral approaches, emphasizing tendon quality and procedural nuances. A second case involving a 21-year-old collegiate volleyball player with posterior labral tear highlights diagnostic tests like the dynamic posterior instability test and debate on conservative versus surgical treatment. The panel stresses careful surgical technique in labral repairs, preferring knotless anchors and specific portals (Port of Wilmington) to minimize complications. A final case involves a 39-year-old man with a panlabral tear, where discussions focus on anchor placement sequence, assessing instability direction, and combining tenodesis with labral repair. Throughout, the experts emphasize individualized approaches balancing imaging findings, clinical exams, patient activity levels, and surgical precision for optimal outcomes.

Asset Caption

Moderator: Andrew Sheean, M.D.
Panel: Dann Byck, M.D., Larry Field, M.D., David Richards, M.D.

Keywords

shoulder pathologies

biceps tenodesis

labral tear

arthroscopic surgery

diagnostic imaging

surgical techniques