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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)
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
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
Posterior instability Surgery
It depends on the injuries
It is essential to identify the pathology and treat
accordingly
Posterior instability Surgery
Common Lesions
Reverse Bankart
Reverse Bony Bankart
Reverse Hill Sachs
Hyperlax posterior capsule
associated lesions
Reverse Bankart lesion
PosteriorAnterior
Reverse Hill-Sachs deformity
AnteriorPosterior
Arthroscopic repair
 Lower morbidity
 Easily assess the entire joint and treat associated pathology
SLAP lesion, Rotator Interval lesions and anterior labral injuries
 Easier revision
Arthroscopic repair of posterior
instability
• Arthroscopic repair of posterior dislocation although
rare is not so difficult
• The only think needed is just to
EXAMINATION UNDER ANESTHESIA
You must have a feel of the joint
ARTHROSCOPIC MANAGEMENT
PosteriorAnterior
ARTHROSCOPIC MANAGEMENT
Anchor placement
ARTHROSCOPIC MANAGEMENT
Knot tying
ARTHROSCOPIC MANAGEMENT
Knot tying
ARTHROSCOPIC MANAGEMENT
ARTHROSCOPIC MANAGEMENT
3 months post-op
3 months post-op
3 months post-op
3 months post-op
3 months post-op
Thank you!
For your attention

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Posterior capsuloplasty reverse bankart

Editor's Notes

  1. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  2. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  3. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  4. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  5. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  6. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  7. This slide lets the audience know that everyone is at “some stage” of retirement planning.
  8. I think that every presentation regarding finance or investments has to be grounded in some type of metaphor. The right metaphor allows the audience to feel immediately comfortable with the presentation even though they may not have much prior knowledge on the subject matter. To me, sailing has always seemed to provide just the right terms to describe both the planning and patience required of a successful investor. Whether it be “charting the course” of an investment plan or having the patience required to navigate choppy markets, sailing and investing can make for a compelling presentation. Disclaimer: You understand that Microsoft does not endorse or control the content provided in the following presentation. Microsoft provides this content to you for informational purposes only; it is not intended to be relied upon as business or financial advice. Microsoft does not guarantee or otherwise warrant the accuracy or validity of this information and encourages you to consult with a business or financial professional as appropriate.