AANA19 Shoulder Access Pass-Questions and Answers: Concurrent Scientific Session V-Dr. Alan G. Shamrock, M.D.

Questions and Answers: Concurrent Scientific Session V-Dr. Alan G. Shamrock, M.D.

Video Transcription

Video Summary

In this video, Dr. Wilson and Dr. Arner discuss the importance of bony diameter in shoulder instability. They mention Dr. Bradley's work on the role of bony width in determining the need for revision surgery. The critical bone loss for posterior instability is not yet determined, with various studies suggesting different percentages. Dr. Owens' study found a cutoff of 20% for bone loss, while Dr. Preventer's study showed a more gradual loss of bone posteriorly compared to the abrupt loss anteriorly. Dr. Wilson's mentor has started using knotless fixation and focusing on capsule care to improve outcomes. The average rehab time before returning to play was six months for contact/collision athletes and nine months for overhead athletes. Dr. Wilson believes deceleration rehab is essential for success rates and suggests allowing the body time to heal. He also recommends open surgery for wrestlers with high biting scores.

Asset Caption

Concurrent Scientific Session V: Paper Presentations - Shoulder Instability 5.3.2019

Keywords

bony diameter

shoulder instability

revision surgery

posterior instability

bone loss