2024 AANA/ISAKOS Specialty Day All-Access Pass-24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss Discussion & Voting

24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss Discussion & Voting

Video Transcription

Video Summary

In this discussion, experts address technical nuances of shoulder stabilization surgeries for collision athletes, focusing on capsule repair after letter J procedure, re-emplissage technique for Hill-Sachs lesions, and managing medial cartilage breaches. They emphasize careful capsule repair without overtightening and judicious anchor placement to avoid limiting shoulder rotation. The debate includes whether to remove cartilage before re-emplissage or leave lesions as is. Return-to-sport timelines and imaging postoperatively are considered, with ongoing studies comparing recovery rates. Thresholds for opting for bony procedures over soft tissue repairs hinge on glenoid bone loss percentages and patient activity levels.

Keywords

shoulder stabilization

capsule repair

re-emplissage technique

Hill-Sachs lesions

collision athletes