2021 Annual Meeting Shoulder Access Pass-Questions and Answers II: Anterior Shoulder Instability: Nuts to Bolts?

Questions and Answers II: Anterior Shoulder Instability: Nuts to Bolts?

Video Transcription

Video Summary

During a Q&A session, the speakers discussed various techniques for treating bone loss in a young woman. They mentioned that the congruent angle technique allows for a larger front porch and is more congruent with the articular surface. When it comes to screw options, the use of cannulated screws was discouraged due to their potential for failure. Instead, the speakers recommended considering a distal tibia graft as a safer option. The size of the screws should be assessed preoperatively based on the coracoid's CT scan, with three 5mm bicortical screws being a preferred choice. The use of washers was not favored as it may not compress the area well.

Asset Caption

Michael Pagnani, MD; Stephen Brockmeier, MD; Ian Lo, MD; Joseph Lamplot, MD; Jens Wermers, MSc

Keywords

bone loss

congruent angle technique

screw options

cannulated screws

distal tibia graft