Specialized Toolkit Series: Shoulder Instability-My Preferred Bone Block Technique for Shoulder Instability

My Preferred Bone Block Technique for Shoulder Instability

Video Transcription

Video Summary

Dr. William Sukoning presents his preferred arthroscopic bone block technique for shoulder instability, emphasizing advantages like improved visualization, equipment efficiency, and reduced complications. He contrasts the lateral decubitus and beach chair positions, favoring the latter for easier conversion to open surgery. A safe zone is defined posteriously to avoid nerve injury when splitting the subscapularis tendon. He discusses techniques using coracoid grafts with screws and highlights distal tibial allografts as a safer alternative. Comparative studies indicate arthroscopic procedures have similar complication rates to open surgery but demand thorough training due to a steep learning curve.

Asset Caption

William J. Ciccone II, M.D., FAANA

Keywords

arthroscopic bone block

shoulder instability

beach chair position

coracoid graft

distal tibial allograft