2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss

Debate Introduction: 24-Year-Old Basketball Player With Recurrent Shoulder Instability With 12% Bone Loss

Video Transcription

Video Summary

The debate presents a 24-year-old semi-pro basketball player with recurrent left shoulder instability, involving 12% glenoid bone loss and multiple dislocations and subluxations over the past year, affecting his ability to play. Physical exam shows positive apprehension and load-shift tests with normal range of motion. Imaging reveals a Hill-Sachs lesion and bony glenoid lesion, with 3D CT confirming a 4mm bone loss on the glenoid and an on-track lesion. Emilio Calvo advocates for the Latarjet procedure, while Robert Hatzler supports Bankart repair plus remplissage in managing this shoulder instability case.

Asset Caption

Guillermo Arce, M.D.

Keywords

shoulder instability

glenoid bone loss

Latarjet procedure

Bankart repair

Hill-Sachs lesion