Case-Based, Advanced Decision-Making in Complex Shoulder Instability: Anterior, Posterior, Bone Loss and Revisions (2024 Annual Meeting)-Case-Based, Advanced Decision-Making in Complex Shoulder Instability: Anterior, Posterior, Bone Loss and Revisions

Case-Based, Advanced Decision-Making in Complex Shoulder Instability: Anterior, Posterior, Bone Loss and Revisions

Video Transcription

Video Summary

The video discusses challenging cases of shoulder instability in young athletes, emphasizing the importance of proper surgical techniques and individualized treatment plans. Cases of recurrent shoulder dislocations in weightlifters and wrestlers are presented, with considerations for bone loss assessment and various surgical options such as bone block procedures and revision repairs. The panel debates on choosing between arthroscopic or open surgical techniques and emphasizes the significance of meticulous surgical intervention tailored to each patient's needs. Additional topics covered include using traction stitches during Bankart repairs, incorporating techniques like remplissage to reduce failure rates, and addressing complications like large Hill-Sacks lesions with innovative solutions such as humeral head allografts. The video also touches on the use of Botox injections for post-op seizure prevention in patients with seizure disorders. Overall, the discussion highlights the complexities and challenges involved in managing shoulder instability cases, particularly in revision surgeries after failed initial repairs.

Asset Caption

Richard K.N. Ryu, M.D., Moderator | Jeanne C. Patzkowski, M.D. | John M. Tokish, M.D., FAANA | Michael J. O’Brien, M.D., FAANA | Stephen A. Parada, M.D.

Keywords

shoulder instability

young athletes

surgical techniques

individualized treatment plans

bone loss assessment

arthroscopic surgery

revision repairs

Bankart repairs

remplissage

Hill-Sacks lesions

Botox injections