I know it’s been a bit since I posted.  That is partially a consequence of my practice becoming overwhelming busy!  However, I now have more help, and am making it my personal goal to show a lot of the interesting and unique cases that come across my clinic days.
The following is an interesting patient with posterior shoulder instability! Posterior shoulder instability is not

Preparing the donor of the shin bone (tibia) and cartilage

common, and this patient was living with his shoulder half dislocated posteriorly (or out the back of his shoulder) due to missing bone in the back of his shoulder. Most people actually dislocate out the front (or anteriorly) due to weaker muscles towards the front of the shoulder stabilizing the shoulder.  For this patient, I harvested cartilage and bone from a cadaveric tibia (shin bone), and transplanted it arthroscopically (with a small scope) to the back of his shoulder with screws. Since the surgery he has regained function and is pain free!

 
Here to help as always – DGS

Arthroscopic image from inside the shoulder showing the bone block screwed into the glenoid (the cup of the shoulder).

#shoulderinstability #shoulderdislocation #seattleshouldersurgeon
 
www.shouldermd.com

X-rays demonstrating screws and bone block in place