2022 Specialty Day All-Access Pass-Session VII: Shoulder

Video Transcription

Video Summary

The video content features a discussion on shoulder instability and surgical techniques to address it. Dr. Dickens discusses lessons learned for successful arthroscopic Bankart repair, emphasizing patient selection and the impact of early surgery on recurrence rates. Dr. Lin talks about accurately measuring glenohumeral bone loss and the importance of considering location and patient age. Dr. Wong discusses arthroscopic bone block for glenoid reconstruction using a distal tibia graft and highlights the benefits of this approach. Dr. Provencher discusses glenoid augmentation and the use of ladder J and distal tibia augmentation for addressing shoulder instability, emphasizing proper patient selection and bone/cartilage considerations. <br /><br />The video also covers topics such as lysis in bone healing, challenges with revision surgeries, posterior shoulder instability in athletes, and the role of glenoid osteotomy and reverse rempleshage to address bone loss. Management of anatomical factors like glenoid hemoretroversion and scapula dyskinesis is also discussed. The presentation concludes with a focus on posterior augmentation, considering timing of surgery and using techniques like open latarjet, arthroscopic latarjet, and distal tibial allograft. The importance of functional testing and imaging for determining readiness to return to play is highlighted.<br /><br />Overall, the video provides insights into the different surgical techniques for shoulder instability, emphasizing patient selection, accurate measurement of bone loss, and continuous improvement in approaches.

Asset Caption

Moderators: Kevin W. Farmer, M.D., Gabriella Ode, M.D.
Speakers: Jonathan F. Dickens, M.D., L.T.C., M.C.; Albert Lin, M.D.; Matthew T. Provencher, M.D., FAANA; Ivan H. Wong, M.D., FAANA; John D. Kelly IV, M.D., FAANA; Julie Y. Bishop, M.D.; William N. Levine, M.D.

Keywords

shoulder instability

surgical techniques

arthroscopic Bankart repair

patient selection

glenohumeral bone loss

glenoid reconstruction

distal tibia graft

glenoid augmentation

posterior shoulder instability

functional testing