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Posterior capsuloplasty reverse bankart
- 2. Posterior dislocation Much less common than anterior (3-5 %) May be difficult to diagnose and may often be missed on up to 50% standard AP view Electric shock Seizures Trauma (alchoholics)
- 3. Mechanism of Injury • Axial loading of the adducted, internally rotated arm • Involuntary recurrent posterior subluxation may be associated w/ high forces generated during follow thru phase of various sports activities • Voluntary dislocation Internal rotation – Adduction – Flexion
- 4. Decision Making If the primary abnormality is found to be structural (eg. Bankart lesion, bony lesion or capsular injury) then surgery is often required early and the rehab follows accordingly
- 5. Posterior instability Surgery It depends on the injuries It is essential to identify the pathology and treat accordingly
- 6. Posterior instability Surgery Common Lesions Reverse Bankart Reverse Bony Bankart Reverse Hill Sachs Hyperlax posterior capsule
- 7. associated lesions Reverse Bankart lesion PosteriorAnterior
- 9. Arthroscopic repair Lower morbidity Easily assess the entire joint and treat associated pathology SLAP lesion, Rotator Interval lesions and anterior labral injuries Easier revision
- 10. Arthroscopic repair of posterior instability • Arthroscopic repair of posterior dislocation although rare is not so difficult • The only think needed is just to
- 11. EXAMINATION UNDER ANESTHESIA You must have a feel of the joint
- 18. 3 months post-op
- 19. 3 months post-op
- 20. 3 months post-op
- 21. 3 months post-op
- 22. 3 months post-op
- 23. Thank you! For your attention
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- This slide lets the audience know that everyone is at “some stage” of retirement planning.
- This slide lets the audience know that everyone is at “some stage” of retirement planning.
- This slide lets the audience know that everyone is at “some stage” of retirement planning.
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