Arthroscopic Management of Locked Posterior Shoulder Dislocations

Description

The video transcript features a presentation by Ahmed Hany Khater, an associate professor of orthopedic surgery at Ain Shams University in Cairo, Egypt, during the BOSTAA 2021 Annual International Conference. The talk focuses on managing locked posterior shoulder dislocations arthroscopically.



Khater begins by thanking the audience and introducing the topic, citing a specific case of a 50-year-old dentist who experienced severe shoulder pain without a known traumatic event, later diagnosed with an impacted posterior shoulder dislocation after improper initial treatment. He emphasizes the importance of recognizing seizure-related dislocations, which are often misdiagnosed and highlights the challenges in the early detection of posterior shoulder dislocations.



He explains various treatment options, including nonoperative methods and surgical interventions, primarily the Modified McLaughlin procedure, which stabilizes the shoulder by addressing both Reverse Hill-Sachs defects and capsulolabral complexes. Khater details the surgical approaches, emphasizing the role of arthroscopic techniques in improving outcomes. Through a case study, he illustrates the surgical procedure, including the steps taken for closed reduction and subsequent arthroscopic repair techniques.



The presentation concludes with the assertion that complex cases can still benefit from closed reduction and that effective management strategies can lead to successful patient outcomes, as evidenced by the case followed up five months later, where the patient achieved full activity levels post-surgery.

DOI: 10.1302/3114-210606

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