APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Session Q&A

Video Transcription

Video Summary

The session transitions into an audience Q&A with faculty after several panel discussions. Surgeons debate management of acromial/scapular spine fractures associated with reverse shoulder arthroplasty, including rare prophylactic or staged plating, whether arthroplasty components must be revised, and preferred fixation strategies (hooked/bent recon plates, 90-degree dual plating, clavicle plates, bone graft/biologics, and use of 3D printing for planning).  <br /><br />Discussion shifts to shoulder instability: the role of a “7 o’clock” anchor, emphasizing capsulolabral shift and tissue purchase over exact anchor position, plus increasing use of return-to-play testing to reduce recurrence. Bone-loss strategies are compared (open Latarjet, distal tibial allograft, AAGR), with intraoperative soft-tissue quality influencing choice.  <br /><br />Rotator cuff topics include using scores to set expectations, structural vs clinical failure counseling, conservative rehab for massive tears, little enthusiasm for routine suprascapular nerve release, and interest in lower trapezius transfer for irreparable tears.

Asset Caption

Moderators: Larry Field, M.D. and Robert Hartzler, M.D.

Keywords

Reverse shoulder arthroplasty acromial/scapular spine fracture fixation

Prophylactic or staged plating and component revision strategies

Shoulder instability capsulolabral shift and 7 o’clock anchor

Glenoid bone loss procedures: Latarjet, distal tibial allograft, AAGR

Irreparable rotator cuff management: rehab, lower trapezius transfer