IC 205-2022: Shoulder Arthritis In Young Active Patients - What Are The Best Options?-Shoulder Arthritis In Young Active Patients

Video Transcription

Video Summary

The video transcript discusses the topic of shoulder arthroplasty and specifically focuses on cases involving patients with limitations in rotation and loss of internal and external rotation. The transcript includes discussions between various surgeons about different treatment options and considerations for these cases. The surgeons discuss the use of the CAM procedure, which involves removing an inferior osteophyte and decompressing the axillary nerve. They also discuss the challenges of preserving the axillary nerve during arthroscopic surgery and the potential need for a reverse shoulder arthroplasty in patients with significant bone deformity and instability.<br /><br />The surgeons also touch on the topic of periprosthetic joint infections, specifically the most common bacteria associated with these infections, Propionibacterium acnes (P. acnes). They discuss strategies for reducing the bacterial load during surgery, including the use of benzoyl peroxide, IV antibiotics, and making incisions in areas with fewer sebaceous glands. The surgeons also mention the use of antibiotics during the post-operative period and techniques for reducing the risk of infection in patients who have had prior surgeries.<br /><br />Overall, the video provides insights into the management of shoulder arthroplasty cases and the considerations involved in treating patients with specific limitations and challenges.

Asset Caption

Matthew Provencher, MD, MBA, MC USNR (Ret.); Brandon Erickson, MD; Anthony Romeo, MD; Samuel Taylor, MD

Keywords

shoulder arthroplasty

limitations in rotation

CAM procedure

axillary nerve

reverse shoulder arthroplasty

periprosthetic joint infections

bacterial load reduction