IC 203-2024: Shoulder Problems in Overhead Sports: Surgeon Beware- It Isn't Always So Straight Forward: An Interactive, Round Table, Case-Based, Problem-Solving Session-IC 203: Shoulder Problems in Overhead Sports: Surgeon Beware- It Isn't Always So Straight Forward: An Interactive, Round Table, Case-Based, Problem-Solving Session

IC 203: Shoulder Problems in Overhead Sports: Surgeon Beware- It Isn't Always So Straight Forward: An Interactive, Round Table, Case-Based, Problem-Solving Session

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Video Transcription

Video Summary

In this video transcript, surgeons and medical experts discuss several complex shoulder injury cases, focusing particularly on overhead athletes. The session emphasized how such cases have evolved over time with various faculty members sharing their extensive knowledge and experience in dealing with these injuries, highlighting common but often challenging scenarios.<br /><br />The session kicked off with an overview of how straightforward cases often unravel deeper issues upon closer inspection or during surgery, revealing pitfalls that require critical thinking to navigate successfully. The faculty presented included renowned experts from different institutions, bringing vast expertise to the table.<br /><br />Three cases were meticulously dissected. The first involved a 19-year-old professional baseball player experiencing recurrent shoulder instability. The discussion focused on whether to pursue surgical intervention immediately or trial non-operative management, ultimately deciding to give rehabilitation a chance before opting for surgical correction after a third instability event.<br /><br />The second case centered on a 39-year-old Major League Baseball pitcher nearing retirement with a suspected capsular tear and chronic posterior labrum involvement. Detailed MRI analysis and previous less invasive treatments were discussed, eventually leading to arthroscopic surgery due to the persistent symptoms and player's desire for a definitive solution.<br /><br />The final case discussed a 24-year-old semi-professional soccer goalie with a posterior superior labral tear and partial-thickness rotator cuff tear. The debate involved whether to decompress an associated cyst and repair the labrum, with further discussion on the merits of using bioinductive implants to treat the rotator cuff tear.<br /><br />Throughout, the faculty highlighted the importance of individualized patient assessments, considering both surgical and non-surgical treatments, and the pivotal role of post-operative rehabilitation in achieving successful outcomes. They also addressed various technical considerations and potential complications, offering a comprehensive exploration of managing shoulder injuries in athletes.

Keywords

shoulder injury

overhead athletes

surgical intervention

rehabilitation

shoulder instability

capsular tear

posterior labrum

arthroscopic surgery

rotator cuff tear

bioinductive implants

post-operative rehabilitation

individualized patient assessments