Shoulder Instability for Orthopaedic FRCS Exams

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This is a teaching session on shoulder instability for orthopaedic exams, co-hosted by Nikki Evans and Ruth Threadgold from ORUK.
- Professor Duncan Tennant, a consultant orthopaedic surgeon and professor of orthopaedic education at St George's Hospital and University, is the guest lecturer.
- Shoulder instability can be classified as anterior, posterior, inferior, or multi-directional.
- Clinical assessment involves examining the cervical spine, range of motion, and performing the apprehension test and other investigations such as X-rays, MRI, and ultrasound can also be useful.
- Treatment options include rehabilitation, inferior capsule shift, and surgery. Muscle patterning may occur in patients, and physiotherapy can help with this.

www.OrthopaedicAcademy.co.uk
www.OrthopaedicAcademy.net

This teaching video is specifically helpful for candidates preparing for the following Orthopaedic Exams : FRCS , European Board (FEBOT) , SICOT Diploma and Arabic Boards

0:00 Introduction
0:25 Shoulder Instability
3:35 Introduction
4:28 Classification
5:47 The Normal Shoulder
6:24 The Unstable Shoulder
6:27 AMBRI & TUBS
9:41 Muscle patterning, Non-structural.
12:07 Stanmore Triangle.
14:00 Clinical Assessment
15:21 Sulcus
15:29 Anterior & Posterior Draw
15:46 Apprehension Test
16:34 Relocation Test
17:18 Xray
18:37 CT Arthrogram
19:00 MRI
20:43 BESS Guidelines
22:08 Operative Management
24:16 Decision making
25:39 Bone loss-measurement
26:10 How much bone loss?
27:11 Engaging Lesions
28:06 Arthroscopic Stabilisation
28:51 Complications of Latarjet
29:26 Latarjet complications
30:13 Summary
31:45 Posterior Instability
32:41 Acute Dislocation
34:45 Labral tear- presentation
35:23 Examination
35:35 Investigation
36:58 FRCS revision text books

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