Specialized Toolkit Series: Shoulder Instability-‘Round the World: Panlabral Repair

Video Transcription

Video Summary

Dr. Paschalski discusses pan-labral tears, rare 360-degree shoulder labral injuries seen in about 6% of instability cases. Diagnosis is challenging due to unreliable physical exams and imaging. Pain between instability episodes can indicate these tears, often linked to recurrent trauma or specific populations like the military. Surgical repair is technically demanding; optimal patient positioning, precise portal placement, and meticulous technique are critical. Using the biceps anchor as a reference and ensuring proper capsular tension help improve outcomes. Postoperative rehab is gradual. Short- and long-term results show improved function and low recurrence, though stiffness and arthritis risk remain concerns.

Asset Caption

Jeanne C. Patzkowski, M.D., FAANA

Keywords

pan-labral tears

360-degree shoulder labral injuries

shoulder instability diagnosis

surgical repair techniques

postoperative rehabilitation