Brian J. Cole, MD, MBA, FAANA

NEW ORLEANS — In this video, Brian J. Cole, MD, MBA, FAANA, discusses the possible use of autologous tissue for orthobiologic surgery.

On a daily basis, surgeons are faced with different options for wound closure. Traditionally, surgical incision closure involved sutures or metal staples.

Posterior instability is less common than anterior shoulder instability, encompassing approximately 10% of all shoulder instability in young active patients. The etiology of posterior instability is most commonly traumatic dislocation or subluxation that damages the posterior labrum, posterior inferior glenohumeral ligament, and/or the bony glenoid rim (posterior bony Bankart lesion). Traumatic posterior shoulder instability or dislocation is typically seen when a posteriorly directed force is applied to a flexed adducted and internally rotated limb, which forces the humeral head posteriorly. Atraumatic chronic posterior instability is found notably in patients who frequently perform activities with repetitive posterior-directed forces, such as weight lifters or football linemen.