Wednesday, February 16, 2011

Shoulder Surgery Video

A couple of years ago I had surgery to repair an injured shoulder. The cartilage had detached from the bone (labral tear), and was causing instability in the joint.

Far too many of my friends have been needing similar repairs lately, and it got me thinking. I was given a video from the scope afterwards, but it doesn't seem like this is a very common practice. So I decided to upload the video so my friends, or anyone else with a similar injury, could see what it looks like in there and how they fix it.

Video from the scope

Shoulder Surgery from Paul Nadler on Vimeo.

The following an excerpt from my MRI. I think the differences from what they found with the scope were just that my biceps tendon WAS intact, and that I had a Bankart tear as well as SLAP. My understanding is that these terms described the region of the labrum that is torn. I was told that I was torn from about 11:00 to 6:00.

FINDINGS: There is Hill-Sachs deformity with bone bruise of the superior posterior and medial aspect of the humeral head.

There is anterior glenoid labral tear extending to the most anterior aspect of the superior glenoid labrum which could be related to SLAP II. There is also edema of the long head of the biceps tendon which could be partially torn. Edema is also noted involving the most superior aspect of the subscapularis adjacent to the tendon. Partial tear of the superior aspect of subscapularis at its insertion onto the humeral head is suspected.

Thickening of the inferiorly glenohumeral ligament. AC joint is preserved. Type I acromion.

Subscapularis, infraspinatus and teres minors appear intact.

IMPRESSION: Anterior glenoid labral signal abnormality compatible with tear with possible SLAP II lesion of the anterior aspect of the superior glenoid labrum. There is suspicion for a tear of the long head of the biceps tendon. Biceps tendon however is in its biceps grove. Hill-Sachs deformity with edema of the humeral head. Partial tear superior aspect of the subscapularis. AC joint is preserved. No encroachment. Type I acromion. Biceps tendon is in its grove.

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