Specialized Toolkit Series: Shoulder Instability-Posterior Shoulder Stabilization: Get it Right the First Time

Posterior Shoulder Stabilization: Get it Right the First Time

Video Transcription

Video Summary

Dr. Andy Sheehan discusses posterior shoulder stabilization, emphasizing patient positioning (favoring lateral decubitus) and precise portal placement, especially the 7 o'clock portal, for optimal access and repair. He stresses thorough labral preparation, careful capsule-labral shifting, and suture choices, noting no definitive superiority among stitch configurations. Knotless versus knotted repairs remain practitioner preference. Sheehan urges closing posterior portals to reduce complications and highlights addressing rare capsular injuries. Clinical outcomes show good return to sport, but durability and reoperation rates warrant ongoing study. In sum, proper technique, portal angles, and aggressive repair yield excellent results in treating shoulder instability.

Asset Caption

Andrew J. Sheean, M.D.

Keywords

posterior shoulder stabilization

lateral decubitus positioning

7 o'clock portal placement

labral preparation and repair

knotless vs knotted repairs