Sergio's Video For GOSICON 2024

Description

In this instructional video, Dr. Sergio Rowinski from Shoulder Planet, Sao Paulo, Brazil, presents a surgical procedure at the GOSICON conference. The tutorial focuses on the step-by-step techniques for subscapularis fixation and arthroscopic biceps tenodesis in elderly patients. Dr. Rowinski begins by establishing the anterior portal and identifying key anatomical structures such as the glenoid, humeral head, long head of the biceps, and degenerative tissue in the anterior labrum.



He emphasizes the importance of creating space for thorough evaluation of the subscapularis by performing an ample release of the anterior capsule. The doctor identifies a significant tear in the subscapularis, despite an inconclusive MRI, highlighting the need for extensive examination of the area.



The procedure proceeds with the removal of the anterior capsule and careful evaluation of the long head of the biceps under dynamic conditions to detect hidden lesions. Dr. Rowinski then explains the fixation of the subscapularis using an anchor placed in the lesser tuberosity and details the subsequent steps for performing the biceps tenodesis.



The video concludes with the completion of the tenodesis and a successful subscapularis fixation, providing viewers with practical insights and techniques for managing shoulder surgeries in older adults.

Specialties