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

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 degrees of retroversion • ? Treatment options
Operative Technique • Augmented glenoid component utilized • Prosthesis unstable posteriorly on exam in OR • What next?
Capsular Shift • Capsule dissected from surrounding soft tissues and shifted anteriorly • Posterior imbrication utilized if inferior capsule of poor quality
Soft Tissue Balancing • Sometimes correction of glenoid anatomy may not be enough • Avoid letting this… • Turn into this
Xavier A Duralde, M.D. Peachtree Orthopedics

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