2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss

Debate Introduction: 24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss

Video Transcription

Video Summary

The debate focuses on a 24-year-old semi-pro basketball player with recurrent shoulder instability. The patient has experienced dislocations and subluxations, preventing him from playing. Physical exams show positive apprehension and load and shift tests. Imaging reveals a heel-sized lesion with bone marrow edema on the humeral head and glenoid bone loss. The glenoid track is calculated to be 23 millimeters, greater than the heel-sized lesion of 17 millimeters, indicating that the lesion is on track. Emilio Calvo supports Latarje, while Robert Hatzler advocates for Bankart repair plus Remplissage for treatment.

Asset Caption

Guillermo Arce, M.D.

Keywords

shoulder instability

bone marrow edema

glenoid track

Bankart repair

Remplissage