2023 Specialty Day All-Access Pass-First-Time Dislocator: Individualize Treatment for Your Patients

First-Time Dislocator: Individualize Treatment for Your Patients

Video Transcription

Video Summary

In this video, Dr. Kevin Farmer from the University of Florida discusses shoulder instability and its management. He commends the military for their contributions to the information shared. He highlights that shoulder instability is common, especially in contact athletes, and mentions studies indicating a higher risk of recurrence for younger males with hyperlaxity. The video also discusses data from the NFL and college athletes regarding return to play rates and recurrence rates after an instability event. It emphasizes the importance of addressing instability rather than waiting, as waiting can lead to increased bone loss. The video explores surgical approaches based on factors such as age, bone loss, and ISIS score (instability severity index) and suggests considerations like maximizing anterior anchors, performing a capsular shift, and considering additional procedures like remplissage or bone grafts. The summary ends with recommendations for who should be considered for repair, basic Bankart repair, Bankart plus procedures, and bone graft procedures. (Word count: 224 words)

Asset Caption

Kevin W. Farmer, M.D.

Keywords

shoulder instability

management

contact athletes

recurrence risk

return to play rates