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CASE REPORT

Kaiser Permanente Baldwin Park Medical Center

Shoulder360™ The Comprehensive Shoulder Course 2024

For the patient in this case, how would fatty infiltration influence the options you offer the patient? If her were Goutallier 3 or 4, would you offer him RCR, or would you provide other options (balloon spacer, SCR, rTSA)?

I am assuming this is a traumatic tear. I would fix this primarily and add a biologic augment of your choosing to potentially increase the biologic healing possibility. Even if this does not fully heal it will hopefully give him the pain relief which he is seeking.

Great case. Definitely one for a biological augment. This cuff is pretty retracted and in these cases I like to use Dermal allograft to give Strength and Healing potential. I have done ACR for cases like this as well. . In most cases when I just want to add some biology I use the bovine Achilles col...lagen graft for ease of use and the delivery system. What did you do with the biceps?

With full ROM, strength as good as is reported, and good muscle quality on sagittal MRI I would favor an arthroscopic approach here initially. This would be an attempted RCR with possible ballon or tuberoplasty. I am not a fan of SCR overall. I tend not to favor LTT in patients this age and with thi...s much ER. If arthroscopic attempt failed then they get RSA. Looking forward to see how others would approach this initially

Also, I have become a BIG fan of lower trap transfers for younger, higher demand patients with deficient supra and/or infra.

Posterior Labral Tear

Posted: Oct 19 2022

Arthroscopic Posterior Labral Repair - Randy S. Schwartzberg, M.D.

Name: Arthroscopic Posterior Labral Repair - Randy S. Schwartzberg, M.D.
Uploaded: 2022-10-19T19:26:03
Description: Arthroscopic Posterior Labral Repair - Randy S. Schwartzberg, M.D.

Plays: 1677

Video Description

Orlando Orthopaedic Center's Dr. Randy S. Schwartzberg, a board certified orthopaedic surgeon specializing in Sports Medicine, discusses what's involved with a Arthroscopic Posterior Labral Repair surgery.

To learn more visit http://www.OrlandoOrtho.com

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