2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #2: Arthroscopic Bankart is the Way

Debate Speaker #2: Arthroscopic Bankart is the Way

Video Transcription

Video Summary

Dr. Posby advocates for arthroscopic Bankart repair in a 17-year-old baseball pitcher with shoulder instability, citing strong evidence of reduced recurrence and high return-to-play rates. Shoulder instability is more common in collision sports but rare in baseball, though sliding and collisions increase risk. Studies show arthroscopic repair lowers recurrence rates sevenfold compared to conservative treatment, with 63-93% return to play depending on position. Overhead athletes often have subluxations and lower return rates than non-overhead athletes. Primary arthroscopic stabilization yields low revision rates and is recommended after first-time dislocation, making it the preferred approach for this young pitcher.

Asset Caption

Mary K. Mulcahey, M.D., FAANA

Keywords

arthroscopic Bankart repair

shoulder instability

baseball pitcher

return to play

shoulder dislocation treatment