Case #1 Xavier A. Duralde, MD Peachtree Orthopedics Atlanta, GA - - PowerPoint PPT Presentation

▶

Nov 02, 2023 266 likes •338 views

Case #1 Xavier A. Duralde, MD Peachtree Orthopedics Atlanta, GA Initial Presentation 46 yo RHD financial advisor 6 year hx of bilateral shoulder pain No hx of instability Played college football CT Scan B2 glenoid 25

SLIDE 1

Case #1

Xavier A. Duralde, MD Peachtree Orthopedics Atlanta, GA

SLIDE 2

Initial Presentation

46 yo RHD financial

advisor

6 year hx of bilateral

shoulder pain

No hx of instability
Played college football

SLIDE 3

CT Scan

B2 glenoid
25 degrees of

retroversion

? Treatment options

SLIDE 4

Operative Technique

Augmented glenoid

component utilized

Prosthesis unstable

posteriorly on exam in OR

What next?

SLIDE 5

Capsular Shift

Capsule dissected from

surrounding soft tissues and shifted anteriorly

Posterior imbrication

utilized if inferior capsule of poor quality

SLIDE 6

Soft Tissue Balancing

Sometimes correction of

glenoid anatomy may not be enough

Avoid letting this…
Turn into this

SLIDE 7