Irreparable Massive Rotator Cuff Tear (AANA20)-“It’s all about Glenoid Exposure” 10 Key Steps for Shoulder Arthroplasty-Dr. Patrick St. Pierre

“It’s all about Glenoid Exposure” 10 Key Steps for Shoulder Arthroplasty-Dr. Patrick St. Pierre

Video Transcription

Video Summary

Dr. Patrick St. Pierre from Eisenhower Desert Orthopedic Center details 10 key steps for effective glenoid exposure in shoulder arthroplasty. Emphasizing preoperative planning and meticulous hemostasis, he advocates thorough adhesion release, biceps tenodesis, and subscapularis management. Crucial steps include inferior capsule release, removal of posterior osteophytes, and complete glenoid exposure, ensuring 360-degree view for implant placement. Techniques like using a spider arm holder and proper retractor placement aid exposure. Final repair involves secure subscapularis fixation. Proper exposure is essential for precise implant positioning, optimizing clinical outcomes in both anatomic and reverse shoulder replacements.

Keywords

glenoid exposure

shoulder arthroplasty

subscapularis management

adhesion release

implant positioning