APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Session Q&A

Video Transcription

Video Summary

The panel discussion covered advanced shoulder surgery topics, focusing on acromion fractures and reverse shoulder arthroplasty. Experts debated prophylactic plating timing and techniques, including the use of clavicle plates and 3D printing for complex fractures. Instability surgery discussions emphasized capsular and labral tissue handling over anchor placement, with strong advocacy for return-to-play testing to reduce recurrence, especially in collision athletes. For bone loss in shoulder instability, varied bone graft options (Latarjet, distal tibial allograft, AAGR) were compared, noting different indications based on soft tissue quality. Arthroplasty dialogues highlighted conservative protocols for cuff repair rehabilitation, minimal suprascapular nerve releases, and the emerging utility of lower trapezius transfers for massive irreparable cuff tears. Overall, the experts underscored tailoring surgical decisions to patient-specific anatomies and expectations, integrating evolving technology and biologics to optimize outcomes.

Asset Caption

Moderators: Larry Field, M.D. and Robert Hartzler, M.D.

Keywords

acromion fractures

reverse shoulder arthroplasty

prophylactic plating

shoulder instability surgery

bone graft options