Case-1: Rotator Cuff Repair Case
Figure 1: This depicts a Supra and Infraspinatus tendon tear with exposed Greater tuberosity bone on a right shoulder. Arrow depicts tendon edge.
Figure 2: Shoulder seen here after tendon and bone bed preparation.
Figure 3: Bio Absorbable suture anchors are placed in the bone.
Figure 4: Completed double row repair showing tendon compression and anatomic restoration of the rotator cuff.
Case-2 : Osteochondritis Dissecans Lesion of the capitellum in a Baseball Player
Figure 1: Arthroscopic view of the Anterior ellbow compartment showing a cartilage lesion (arrow) on the capitellum causing lateral elbow pain in a throwing athlete
Figure 2: A probe is identifying the cartilage lesion from the soft spot viewing portal.
Figure 3: The cartilage lesion has been cleaned up and treated with a microfracture to allow healing.
Figure 4: Arthroscopic Application of BioCartilage to aid in the formation of Type 2 cartilage.
Figure 6: Final treatment showing a filled defect and sealed Biocartilage in the Capitellum.
Case-3 : Shoulder Instability with mild bone loss.
Figure 1: Right shoulder anterior inferior labral tear aka Bankart tear.
Figure 2: This shows an engaging Hill Sachs lesion. This represents humeral head bone loss that makes dislocating easier.
Figure 3: The labrum and ligament has been repaired back to the glenoid.
Figure 4: A Remplissage procedure was performed to “fill in” the Hills Sachs lesion for improved stability.
Case-4 : Multi-Directional Shoulder Instability
Figure 1: Left shoulder Arthroscopic view of a excessive capsular volume anteriorly
Figure 2: Posterior labrum flattening and excessive capsular volume.
Figure 3: Capsule/Ligament Plication decreasing capsular volume posteriorly.
Figure 4: Capsule/Ligament Plication anteriorly.
Figure 5: Completed Arthroscopic Capsular plication to prevent shoulder dislocations.
Case-5 : Arthroscopic treatment of Frozen Shoulder
Figure 1: Arthroscopic View of the anterior shoulder showing a tight and closed off rotator interval
Figure 2: A release of the interval tissue has been performed.
Figure 3: Tight inflamed posterior capsule tissue
Figure 4: Posterior capsule has been released
Figure 5: Inferior capsule view with metallic probe pointing towards the front of the shoulder.
Figure 6: Inferior capsule release has been performed.
Case-6 : Anatomic Total Shoulder Replacement (TSA)
Figure 1: Grashey view X-ray of an Arthritic shoulder with an intact rotator cuff.
Figure 2: Axillary view x-ray showing bone on bone contact in the joint.
Figure 3: X-ray of Stemless TSA
Figure 4: Axillary view x-ray after TSA
Case-7 : Reverse total shoulder replacement (RSA)
Figure 1: Right shoulder with rotator cuff arthropathy. There is a high riding humeral head with bone on bone contact.
Figure 2: Axillary x-ray view
Figure 3: X-ray after RSA.
Figure 4: Axillary x-ray view of RSA
Case-8 : Revision Reverse Shoulder Replacement
Figure 1: Failed reverse shoulder with humeral bone loss.
Figure 2: X-ray showing anterior dislocation.
Figure 3: Reverse shoulder replacement with bone loss treated with cadaveric bone fixed with plate and screws.
Figure 4: Reverse shoulder now stable and reduced.
Case-9 : Arthroscopic Latarjet Procedure
(Coracoid bone transfer for shoulder instability with bone loss)
Picture 1: Arthroscopic view of Left shoulder with glenoid bone loss( arrow) from recurrent dislocations
Picture 2: Arthroscopic view of Coracoid bone prior to transfer
Picture 3: Arthroscopic View of Coracoid bone transfer ( Latarjet procedure) to the anterior glenoid to treat bone loss
Picture 4: X rays showing latarjet fixed with a suture button