IC205-2021: Complications - Surgeons' Worst Enemy & Best Teacher-Complications - Surgeons' Worst Enemy & Best Teacher (4/4)

Video Transcription

Video Summary

The video transcript discusses two case studies related to shoulder surgery complications. <br /><br />The first case involves a 26-year-old woman with hyperlipidemia familial who experienced popping and catching in her shoulder, indicating instability. The physical exam revealed tenderness and apprehension, and imaging showed evidence of capsular laxity. During the surgery, the patient experienced extremely high blood pressure and heart rate, leading to an MI. It was determined that the complication was likely caused by epinephrine being injected into the bloodstream instead of arthroscopic bags. The patient required hospitalization and follow-up care, but eventually made a full recovery.<br /><br />The second case involves a young man with epilepsy who underwent shoulder surgery. Despite good seizure control, the patient experienced recurrent dislocation and subsequent complications. Multiple surgeries were performed, including a large osteochondral allograft for the glenoid and a distal tibia allograft for the Hill-Sachs defect. The patient required an extended hospital stay and close monitoring of seizure control. Ultimately, the patient achieved good outcomes and trusted the surgeon enough to seek further treatment for a subsequent shoulder injury.<br /><br />The video emphasizes the importance of open communication with patients and their families, taking responsibility for complications, offering support, and considering alternative surgical approaches for patients with underlying health conditions.

Asset Caption

Alison Toth, MD

Keywords

shoulder surgery complications

case studies

instability

complications

communication with patients