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Anterior Glenohumeral Instability Upper Extremity Rounds St. Michael’s Hospital March 2004
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognostic variables ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Age & Recurrence Rate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Natural History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Shoulder Stabilisers - Static ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Primary static stabilizer limiting anterior movement of the shoulder in 90 degrees of abduction is the IGHL complex
Shoulder Stabilisers - Dynamic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
Anterior Labrum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Glenohumeral Capsule ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathoanatomy ,[object Object],[object Object],Rotator cuff (13%)  ,[object Object],[object Object],[object Object],Humerus ,[object Object],[object Object],[object Object],Labrum ,[object Object],[object Object],[object Object],Glenoid ,[object Object],[object Object],[object Object],[object Object],Capsule
Patient History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exam - Acute Instability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exam - Recurrent Instability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object]
Intra-articular lidocaine vs. IV sedation for closed reduction? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is Sling Appropriate? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Early Arthroscopic Repair? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Arthroscopic Lavage? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for Surgery ,[object Object],[object Object],[object Object],[object Object],Gill & Zarins.  Am J Sports Med , Jan-Feb, 2003.
Algorithm for Anterior Shoulder Instability J Am Acad Orthop Surg 1997;5:233-239
Nonanatomic Repairs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomic Repairs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Issues ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case ,[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Imaging ,[object Object]
Open anteroinferior capsular shift and Bankart procedure.  ,[object Object],[object Object],[object Object]
Bankart lesion ,[object Object],[object Object],[object Object],[object Object]
Capsular Shift ,[object Object],[object Object]
Subscapularis Repair ,[object Object]

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Anterior Glenohumeral Instability

  • 1. Anterior Glenohumeral Instability Upper Extremity Rounds St. Michael’s Hospital March 2004
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