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Surgical Management of shoulder injuries

Surgical Management of shoulder injuries. Dr Tim Dwyer MBBS PhD FRACS FRCSC Assistant Professor, University of Toronto Women’s College and Mt Sinai Hospital. Topics. Shoulder Instability Throwing shoulder SLAP ACJ. Shoulder Instability. Indication to treat multiple dislocations

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Surgical Management of shoulder injuries

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  1. Surgical Management of shoulder injuries Dr Tim Dwyer MBBS PhD FRACS FRCSC Assistant Professor, University of Toronto Women’s College and Mt Sinai Hospital

  2. Topics Shoulder Instability Throwing shoulder SLAP ACJ

  3. Shoulder Instability Indication to treat • multiple dislocations • timing for athletes History • sports

  4. Examination Sulcus / Beightons Anterior apprehension / Jobes Relocation Anterior Draw Posterior Apprehension

  5. MRI Labral tear Hill Sachs Bony Bankart

  6. Scope

  7. Arthroscopic Bankart v Latarjet Arthroscopy • < 1/1000 infection • minimal risk NVI • 95% success Latarjet • 1/100 risk infection • risk to musculocutaneous / axillary / brachial plexus • risk of non union / malunion • success > 95%

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