2023 Specialty Day Access Pass-First-Time Dislocator: Individualize Treatment for Your Patients

First-Time Dislocator: Individualize Treatment for Your Patients

Video Transcription

Video Summary

Kevin Farmer discusses shoulder instability in athletes, emphasizing higher recurrence risks in young, male, contact athletes with hyperlaxity. Data shows high return-to-play rates but significant recurrence without surgery. Delaying surgery increases bone loss and worsens outcomes. The ISIS score helps predict surgical success; lower scores favor Bankart repair, while higher scores may require augmented procedures. Bone loss greater than 13.5% is critical, with combined glenoid and humeral bone loss worsening outcomes. Farmer advocates a tailored approach: Bankart repair for low-risk cases, Bankart plus with enhanced capsular repair for moderate bone loss, and bone grafting for severe bone loss and instability.

Asset Caption

Kevin W. Farmer, M.D.

Keywords

shoulder instability

athletes

recurrence risk

Bankart repair

bone loss