AANA19 Shoulder Access Pass-Gloves Off_ Get a Life-Dr. John D. Kelly, M.D.

Gloves Off_ Get a Life-Dr. John D. Kelly, M.D.

Video Transcription

Video Summary

The video discusses shoulder instability treatments, contrasting open Bankart surgery with arthroscopic techniques. The speaker highlights Colonel Tokish’s distinguished military and athletic background but emphasizes the long-term damage from Division One football. CT and PET scans show frontal lobe atrophy affecting judgment. Arthroscopic Bankart repair is advocated to restore native anatomy—labral seal, precise capsule tensioning, and addressing bone loss—avoiding subscapularis damage and arthritis associated with open surgery. The speaker shares advances like remplissage and bone grafting to improve outcomes and lower recurrence rates, stressing that modern arthroscopy offers better visualization, less pain, and greater joint stability.

Keywords

shoulder instability

arthroscopic Bankart repair

open Bankart surgery

remplissage technique

bone grafting