Shoulder instability is one of the most common shoulder problems, especially in the younger age group. The classic time-honored treatment was that surgery was the best option after a second dislocation, but in the past 20 years, more and more shoulder surgeons have advocated surgery after the first dislocation, especially that these can now often be handled arthroscopically. Further controversy in the past decade has focused on the problem of bone loss in shoulder instability and how and when that should be handled.
This webinar, moderated by Dr. Jim Lubowitz, editor-in-chief of Arthroscopy: The Journal of Arthroscopic and Related Surgery, will consist of two authors presenting findings from their recent papers, followed by commentary by well-known experts in shoulder surgery and arthroscopy.
Dr. Brian Feeley will discuss his very recent 2017 Arthroscopy paper, “Bipolar Bone Loss with Anterior Shoulder Dislocation: A Comparison of Adolescents versus Adult Patients.” Dr. Dean Taylor will present his JSES paper from 2010, done with Chad Mather, “A Predictive Model of Shoulder Instability after a First-time Shoulder Dislocation.”
The commentator on Dr. Feeley’s paper will be Dr. Steve Burkhart, out of San Antonio, renowned for his multiple pioneering papers on shoulder surgery. Dr. Bob Arciero, who worked with Dr. Taylor at West Point on newer approaches to first-time dislocators, will discuss the Mather-Taylor paper.
Bill Mallon, MD
Bill Mallon attended medical school at Duke University, and did his orthopaedic residency at Duke as well. His fellowship was with Richard Hawkins at the University of Western Ontario in London, Ontario, Canada. He practiced with Triangle Orthopaedics (now EmergeOrtho) for 25 years in Durham, NC, with a sub-specialty in shoulder and elbow surgery. Mallon was made Associate Editor of the Journal of Shoulder and Elbow Surgery in 2003, and named Editor-in-Chief of the Journal of Shoulder and Elbow Surgery in 2008, and continues in that role through 2020. He was named to the Presidential Line of the American Shoulder and Elbow Surgeons (ASES) in 2012, and was President of ASES in 2014-15.
Jim Lubowitz, MD
James H. Lubowitz, MD is Editor-in-chief of Arthroscopy: The journal of arthroscopic and related surgery, and Arthroscopy Techniques. Dr. Lubowitz has served on committees of the Arthroscopy Association of North America (AANA), ISAKOS, AOSSM, and the ACL Study Group, including both the AANA and AOSSM Education Committees, and is Chairman, emeritus, of the AANA Research Committee. He is designated by AANA as a Master Knee Surgeon at the Orthopaedic Learning Center in Chicago. Dr. Lubowitz is a member of the Medical Staff of the United States Ski and Snowboard Team.
Brian Feeley, MD
Brian Feeley, MD is an Associate Professor in the UCSF Department of Orthopaedic Surgery. His clinical specialties include clavicle fractures, shoulder and knee sports injuries, and shoulder arthroplasty. His research interests include muscle stem cell biology, clinical outcomes, and shoulder arthroplasty. He has received the AOSSM and OREF Young Investigator Awards for his research. He is currently funded by the NIH, VA and OREF for his research, and was the 2014 Kappa Delta Young Investigator Award winner from the OREF and ORS. Dr. Feeley serves as the UCSF sports medicine fellowship director and associate program director for the residency. In his spare time, he likes to surf Northern California, and coaches his daughters' softball teams.
Steve Burkhart, MD
Stephen Burkhart, M.D., specializes in arthroscopic shoulder surgery at The San Antonio Orthopaedic Group in San Antonio, Texas. He is a Clinical Associate Professor of Orthopaedic Surgery at The University of Texas Health Science Center as well as Voluntary Clinical Professor at Baylor College of Medicine. Dr. Burkhart is a past president of the Arthroscopy Association of North America. He has authored three textbooks on arthroscopic shoulder surgery and has published approximately two hundred peer-reviewed articles. He holds forty-one U.S. patents related to arthroscopic surgical devices and procedures.
Dean Taylor, MD
Dr. Dean Taylor is a professor of orthopaedic surgery at Duke University. He received a BS degree from West Point, and MD from Duke University. He completed his orthopaedic surgery residency training at Duke, and sports medicine fellowship at the Letterman Army Institute of Research at West Point. While in the Army, he held the position of Chief of Orthopaedics at West Point, and was the Head Team Physician and Director of the John Feagin Sports Medicine Fellowship Program at West Point. He retired at the rank of Colonel in 2005 after 24 years of service. In 2006, he returned to Duke where he now holds the positions of Sports Medicine Fellowship Director, Director of the Duke School of Medicine Leadership Education and Development (LEAD) Curriculum, Team Physician, and Chairman of the Feagin Leadership Program. His areas of interest are orthopaedic sports medicine, specializing in surgery and injuries to the shoulder and knee.
Bob Arciero, MD
Dr. Robert Arciero is a professor and chief of the Sports Medicine Division of the Department of Orthopaedic Surgery at UConn Health. He is also the director of the Orthopaedic Sports Medicine Fellowship program at UConn Health. Dr. Arciero is an active team physician for the UConn athletic programs providing sports care for the men's and women’s basketball, football, and hockey teams, and an orthopaedic team physician for USA Hockey. Prior to his arrival at UConn, Dr. Arciero spent 13 years at Keller Army Hospital at West Point, NY, as the Chief of Orthopaedics and Director of the U.S. Army’s Bone & Soft Tissue Trauma Fellowship. In his rank of Colonel, he served two tours of duty including Operation Desert Storm/Shield in Saudi Arabia and Iraq in 1990-1991, for which he received a Bronze Star. In 2014-15, Dr. Arciero was recognized for his service and leadership and was President of the American Orthopaedic Society for Sports Medicine, the premier orthopaedic sports society in the world.
Lau, B. C., Conway, D. Curran, P. F., Feeley, B. T., Pandya, N. K. (2017). Bipolar Bone Loss in Patients With Anterior Shoulder Dislocation: A Comparison of Adolescents Versus Adult Patients. Arthroscopy. 33(10). 1755-1761. doi: 10.1016/j.arthro.2017.04.004
Mather, R. C. III, Orlando, L. A., Henderson, R. A., Lawrence, J. T., Taylor, D. C. (2011). A predictive model of shoulder instability after a first-time anterior shoulder dislocation. Journal of Shoulder and Elbow Surgery. 20(2), 259-266. doi: 10.1016/j.jse.2010.10.03