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