2021 Annual Meeting Shoulder Access Pass-Questions and Answers: Instability: It's Not Just the Anterior

Video Transcription

Video Summary

In the video, the speakers discuss the impact of bone loss on surgery indications and techniques. They mention a graph that demonstrates a higher risk of failure with increasing bone loss percentages. The speakers emphasize the need to recognize and address posterior instability, especially in athletes. They also discuss the use of bone grafting when bone loss reaches 15% and mention the potential use of a distal tibial allograft. The speakers touch on closing the posterior portal to prevent capsular tears and stress risers. They briefly discuss the use of MRI for evaluating bone loss, mentioning that 3D CT scans may be the gold standard, but have the drawback of radiation exposure. The video concludes with a reminder that posterior instability causes pain, unlike anterior instability which leads to complaints of instability. No specific credits are mentioned in the transcript.

Asset Caption

Michael Bedrin, MD; E. Lyle Cain, MD; Justin Griffin, MD; Justin Arner, MD; James Bradley, MD; William Ciccone, MD; Ivan Wong, MD, FRCSC, MAcM, Dip. Sports Med; John Tokish, MD; Brett Owens, MD

Meta Tag

Concept Posterior Glenoid Bone Loss

Concept Posterior Shoulder Instability

Concept Surgical Failure Risk

Concept Bone Loss Threshold

Concept Three-Dimensional Computed Tomography

Keywords

bone loss

posterior instability

bone grafting

MRI

3D CT scans

Posterior Glenoid Bone Loss

Posterior Shoulder Instability

Surgical Failure Risk

Bone Loss Threshold

Three-Dimensional Computed Tomography