APEX Shoulder Mastering Surgical Techniques for Clinical Success-Shoulder Bone Loss

Video Transcription

Video Summary

The session discussed complex cases of shoulder dislocation and surgical intervention, highlighting key challenges and expert techniques. A 27-year-old male with a long history of shoulder dislocations underwent multiple surgeries, including an arthroscopic Bankart repair and open Latarjet, both failing due to recurrent dislocations. Experts discussed imaging evaluations and debated various surgical approaches, emphasizing the importance of addressing bone loss and the complexities of revising a previous open shoulder surgery. In a second case, a 19-year-old hockey player experienced recurrent shoulder instability post-Bankart surgery. The discussion focused on whether a revision Bankart and remplissage (a procedure addressing Hill-Sachs lesions) or a Latarjet, which is often favored for high-contact athletes, would be more effective. Surgical tips were shared, including precise graft positioning and using arthroscopic techniques to avoid musculocutaneous nerve injuries. Overall, the session underscored the need for tailored surgical strategies and careful evaluation in challenging shoulder instability cases.

Asset Caption

Moderator: William Ciccone, M.D.
Panel: Bogdan Matache, M.D., Michael O’Brien, M.D., Brian Waterman, M.D.

Keywords

shoulder dislocation

surgical intervention

Bankart repair

Latarjet procedure

shoulder instability

recurrent dislocations

surgical techniques