Transcript No Slide Title

Beaumont Doctors Specializing in
Sports Medicine
Shoulder Surgery for
Instability
• Arthroscopic vs. open Bankart repair
• Capsular “shrinkage” for subtle instability
• Open capsular shift for multidirectional
instability
• SLAP repair for torn labrum or biceps
anchor
Anatomy
Anatomy
Anatomy
Arthroscopy
Instability
Traumatic (Unidirectional)
versus
Chronic (Multidirectional)
Instability
Traumatic
Instability
Traumatic
Normal
Dislocated
Instability
Traumatic
Normal
Dislocated
Instability
Traumatic
MRI
Instability
Traumatic
Bankart Repair - Open
Bankart Repair Arthroscopic
Bankart Repair Arthroscopic
Chronic or
Multidirectional
Instability
Capsular Shift - Open
Capsular Shrinkage Arthroscopic
Capsular Shrinkage Arthroscopic
Associated Injuries
Axillary Nerve “Stretch”
Rotator Cuff Tear
SLAP Tear
SLAP Tear - Variants
SLAP Tear
MRI
SLAP Tear
Normal
Torn
SLAP Debridement
SLAP Repair
Goal
Shoulder that is pain free, does
not dislocate, and can be
trusted
Possible Risks and
Complications
•
•
•
•
•
•
Anesthetic
Nerve or vessel injury
Pain
Stiffness
Infection
Continued instability
Rehab
• Initial degree of protection depends on
procedure
• Typical protection period is 4 to 6 weeks
• Followed by physical therapy 3x/ week x 6
to 12 weeks
• Expect 3 to 6 months for full recovery
No surgery is ever “guaranteed,”
but shoulder stabilization surgery
is a highly successful