Treating Shoulder Degenerative Arthritis in the Young Athlete - Incorporating Shoulder Arthroplasty? (AANA19)-Questions and Answers_ Treating Shoulder Degenerative Arthritis in the Young Athlete-Dr. Alan S. Curtis, M.D.

Questions and Answers_ Treating Shoulder Degenerative Arthritis in the Young Athlete-Dr. Alan S. Curtis, M.D.

Video Transcription

Video Summary

The discussion centers on surgical approaches for reverse shoulder arthroplasty, focusing on whether to repair the subscapularis tendon. The speaker prefers repairing it during primary reverse shoulder surgeries when possible, believing that even partial repair enhances stability and function, especially for active patients. They note that unrepaired tendons often become atrophic or unreparable. The debate includes contrasting views on latissimus dorsi transfers; the speaker does not favor them, citing limited benefit and difficulty in older patients. Implant design also plays a role in reducing glenoid stress and implant loosening, with lateralized, offset implants providing better biomechanical outcomes. Rehabilitation is described as unrestricted, allowing patients to return to sports like tennis and pickleball if they regain motion. Lastly, a complex case of a young firefighter with shoulder arthritis is reviewed, emphasizing cautious use of injections and surgical releases to delay arthroplasty. Overall, the approach balances surgical repair, implant selection, and active rehab to optimize patient outcomes.

Asset Caption

Instructional Course Lecture: Treating Shoulder Degenerative Arthritis in the Young Athlete - Incorporating Shoulder Arthroplasty?

Keywords

reverse shoulder arthroplasty

subscapularis tendon repair

latissimus dorsi transfer

lateralized implant design

rehabilitation and sports return