2024 AANA/ISAKOS Specialty Day All-Access Pass-Case Panel Discussion: Instability With Bone Loss

Video Transcription

Video Summary

In this video transcript, a panel of experts discuss two challenging cases of shoulder instability. The first case involves a 57-year-old male who experienced a traumatic subluxation after a ski accident. The panel discusses the importance of identifying the location of a bone fragment in the glenohumeral joint and the potential treatment options, including lateral decubitus, bone block, or waiting to see if there is recurrent instability. The second case involves a 31-year-old female who had undergone three failed surgeries for instability. The panel discusses the challenges of treating this patient and the potential need for a distal tibial allograft and remplissage procedure. They also discuss the differences between Bankart and remplissage procedures and the importance of assessing bone loss and patient activity level in determining the appropriate treatment approach. Overall, the panel provides valuable insights into the complexities of shoulder instability cases and the considerations involved in treatment decisions.

Asset Caption

Giovanni Di Giacomo, M.D., John M. Tokish, M.D., FAANA, Patrick J. Denard, M.D., FAANA, Seth Gamradt, M.D., Michael J. Pagnani, M.D., Jeanne Cameron Patzkowski, M.D., FAANA, Ivan H. Wong, M.D., FAANA

Keywords

shoulder instability

traumatic subluxation

bone fragment

treatment options

Bankart procedure

remplissage procedure