AOSSM Specialty Day 2023 with ISAKOS with 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

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Video Transcription

Video Summary

The video is a discussion and presentation of two different cases - a shoulder case and an elbow case. In the shoulder case, a 31-year-old major league pitcher presents with posterior shoulder pain. The clinical exam shows pain with resisted external rotation in abduction, but overall stability testing looks normal. MRI scans confirm an anterior inferior capsular tear and other labral pathology. The panel agrees that surgical repair is likely necessary, with a debate on whether to also repair the labrum. In the elbow case, a 55-year-old patient presents with pain and restricted range of pronation. MRI and CT scans indicate a partial tear of the distal biceps tendon with hypertrophic bursa and enthesopathic exostoses. The panel discusses conservative treatment options and ultimately decides that surgical repair is necessary. An endoscopic-assisted technique is presented, which involves tenotomy, debridement, tuberoplasty, and reattachment using an endobutton. Overall, the panel provides insights, opinions, and treatment recommendations based on their expertise.

Keywords

shoulder case

elbow case

posterior shoulder pain

anterior inferior capsular tear

labral pathology

surgical repair