100 likes | 121 Views
Explore the latest advancements in surgical management of shoulder injuries by Dr. Tim Dwyer, a renowned expert and Assistant Professor at the University of Toronto. This comprehensive guide covers topics such as shoulder instability, throwing shoulder issues, SLAP tears, ACJ injuries, and indications for treatment, particularly in cases of multiple dislocations and timing for athletes.
E N D
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 • timing for athletes History • sports
Examination Sulcus / Beightons Anterior apprehension / Jobes Relocation Anterior Draw Posterior Apprehension
MRI Labral tear Hill Sachs Bony Bankart
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%