Description
The video presentation features Dr. Carlos Cobiella discussing traumatic posterior instability in the shoulder on behalf of BOSTAA. He introduces the commonly misunderstood issue of locked posterior dislocations, highlighting their similar appearances in X-rays compared to normal shoulders. Dr. Cobiella emphasizes the importance of improved imaging techniques to avoid misdiagnoses, suggesting the use of axial views for better detection of posterior dislocation.
The presentation covers clinical symptoms of instability, emphasizing pain and weakness in patients, and the utility of tests like the O'Brien test for diagnosing posterior instability. Dr. Cobiella also shares his strategies for surgical intervention, which include the importance of arm positioning during surgery for better access and visualization of the posterior shoulder structures. He discusses techniques for addressing bony defects, specifically the McLaughlin lesion, and the potential need for anchors to stabilize these injuries. He concludes by stressing the significance of a structured postoperative regime, such as the use of abduction splints, to promote healing and prevent recurrence of instability.