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Joseph U. Barker, MD www.josephbarkermd.comORTHOPAEDIC Rehabilitation Protocol: Arthroscopic Posterior Shoulder Stabilization Name ...

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1. Prepare the patient: Prior to the procedure, ensure the patient is properly prepared by conducting a thorough physical examination and reviewing their medical history. This will help determine if they are a suitable candidate for arthroscopic posterior shoulder stabilization.
2. Administer anesthesia: Once the patient is prepared, administer anesthesia to ensure they are comfortable and pain-free during the procedure. Discuss the type of anesthesia with the patient and consult with an anesthesiologist if necessary.
3. Position the patient: Position the patient appropriately for the arthroscopic posterior shoulder stabilization procedure. This typically involves the patient lying on their side with the affected shoulder facing up.
4. Create portals: Use specialized instruments to create small incisions, known as portals, in the skin surrounding the shoulder joint. These portals provide access for the arthroscope and other surgical instruments to be inserted into the joint.
5. Insert the arthroscope: Gently insert the arthroscope, a small camera, through one of the portals. This will allow the surgeon to visualize the inside of the shoulder joint on a screen and identify any structural abnormalities or damage.
6. Evaluate the shoulder joint: Carefully examine the structures within the shoulder joint, including the labrum, ligaments, muscles, and tendons. Assess the extent of the instability and any associated injuries that may require repair.
7. Repair the labrum and ligaments: Using specialized tools and sutures, repair any damaged or torn tissues within the shoulder joint. This may involve reattaching the labrum or tightening the ligaments to stabilize the joint.
8. Complete the procedure: Once the necessary repairs have been made, carefully remove all instruments from the joint and close the incisions with sutures or steri-strips. Apply a sterile dressing to the wounds and ensure the patient is comfortable before transferring them to the recovery area.

Who needs arthroscopic posterior shoulder stabilization?

1. Athletes: Arthroscopic posterior shoulder stabilization is often recommended for athletes, especially those engaged in sports that require repetitive throwing or overhead movements. These activities can place excessive stress on the shoulder joint and increase the risk of posterior shoulder instability.
2. Individuals with recurrent dislocations: People who experience recurrent dislocations or subluxations of the shoulder joint, particularly in a posterior direction, may benefit from arthroscopic posterior shoulder stabilization. This procedure can help restore stability to the joint and reduce the risk of further dislocations.
3. Patients with traumatic shoulder injuries: Those who have sustained a traumatic shoulder injury, such as a fall or direct blow to the shoulder, resulting in posterior shoulder instability may require arthroscopic posterior shoulder stabilization. This procedure can help repair any damaged structures and restore stability to the joint.
4. Individuals with chronic shoulder instability: Some individuals may have chronic shoulder instability due to underlying anatomical abnormalities or lax ligaments. Arthroscopic posterior shoulder stabilization can address these issues and provide long-term stability to the shoulder joint.
5. Those who have failed conservative treatment: If conservative treatments, such as physical therapy and rehabilitation exercises, have failed to adequately address posterior shoulder instability, arthroscopic posterior shoulder stabilization may be recommended as a surgical option.

It is important to consult with a qualified orthopedic surgeon or shoulder specialist to determine if arthroscopic posterior shoulder stabilization is the right treatment option for an individual's specific condition and needs.

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