AOSSM Specialty Day 2023 with ISAKOS - no CME-4. Case Based Panel with the Experts: Elbow Injuries in the Thrower: Management in 2023; Moderators: Gregory I. Bain, MD and Steven B. Cohen, MD

4. Case Based Panel with the Experts: Elbow Injuries in the Thrower: Management in 2023; Moderators: Gregory I. Bain, MD and Steven B. Cohen, MD

Back to course

Video Transcription

Video Summary

In the video, the speaker presents two cases. The first case is a 31-year-old major league pitcher who experiences posterior shoulder pain. He has a history of previous injuries, including a right lattissimus strain, UCL reconstruction, and oblique strain. Initial diagnosis suggests a lat strain or tear, and an MRI arthrogram confirms an anterior inferior capsular tear, as well as mild subscapularis and teres and lat strains. Surgical repair is recommended, focusing on fixing the capsule instead of the labral tear. The second case involves a 55-year-old man who has a lifting-induced injury in the elbow. MRI scans show an effusion around the distal biceps tendon, indicating a possible partial tear. The speaker suggests conservative treatment as an initial option, but acknowledges that high-grade partial tears do not respond well to non-surgical measures. Surgical repair is often necessary, involving a transverse incision, tendon anchor placement, and tying it down. An alternative endoscopic approach is also discussed, where the tendon is released and reattached using an endobutton and footprint repair technique. Overall, the video covers the diagnosis and treatment of shoulder and elbow injuries.

Keywords

shoulder pain

diagnosis

surgical repair

elbow injury

partial tear

conservative treatment