APEX Shoulder Mastering Surgical Techniques for Clinical Success-Anatomic TSR

Video Transcription

Video Summary

The panel discussed anatomical versus reverse shoulder arthroplasty, focusing on their clinical practices and decision-making processes. They explored criteria for choosing between the two, considering factors like passive motion, cuff strength, age, and specific conditions like osteoarthritis (OA) and massive cuff tears. Anatomics are sometimes chosen if the cuff is intact, even in older patients, due to potentially better range of motion outcomes. The discussion included the use of pre-operative imaging, such as CT scans and MRIs, to evaluate glenoid version and plan surgery, emphasizing the role of advanced imaging in better predicting outcomes. The conversation also covered subscapularis management techniques during surgery, including tenotomy, lesser tuberosity osteotomy (LTO), and appeals. The importance of individualized patient assessment, surgical technique, and careful repair for successful outcomes was highlighted. Glenoid exposure and achieving optimal surgical views for effective arthroplasty were also discussed, with tips on handling various challenges during the procedure.

Asset Caption

Moderator: Robert Hartzler, MD
Panel: Brian Grogan, M.D., Xinning Li, MD, Brian Waterman, M.D.

Keywords

shoulder arthroplasty

clinical decision-making

pre-operative imaging

subscapularis management

glenoid exposure

patient assessment