APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing Instability Labral Repair: Bankart, SLAP

Video Transcription

Video Summary

John D. Kelly IV discusses optimizing treatment for anterior shoulder instability and labral injuries. He promotes the use of arthroscopy over invasive open surgeries, emphasizing the restoration of native anatomy, especially the labral bumper, which is vital for shoulder stability. Key points include the importance of preserving the labrum during repairs and utilizing techniques like horizontal mattress sutures for better outcomes. He cautions against over-constraining the biceps in throwers, as it can cause mechanical issues and career-ending injuries. For labral tears, a comprehensive examination and addressing the kinetic chain are crucial. Kelly advises minimal anchor use, careful placement, and warns against unnecessary repairs on age-related labral changes. Emphasizing the role of rehab and addressing factors like biceps and core weaknesses, he concludes by stressing the need for precise diagnosis and treatment to avoid career-ending outcomes in athletes.

Asset Caption

Faculty: John D. Kelly, IV, M.D., FAANA

Keywords

anterior shoulder instability

labral injuries

arthroscopy

labrum preservation

kinetic chain

rehabilitation