AANA19 Shoulder Access Pass-Questions and Answers_ Concurrent Scientific Session V-Dr. Alan G. Shamrock, M.D.

Questions and Answers_ Concurrent Scientific Session V-Dr. Alan G. Shamrock, M.D.

Video Transcription

Video Summary

The discussion highlights the challenges of posterior shoulder instability, particularly regarding critical bone loss thresholds, which remain unclear but are estimated around 13–20%. Dr. Tokish's research links 13% bone loss to poorer military outcomes. Effective treatment now includes knotless fixation and better capsular repair. Return-to-play timelines vary: nine months for overhead athletes and six months for contact athletes, with no accelerated rehab preferred due to the importance of gradual healing. Open surgery is recommended for severe cases. Overall, careful rehab pacing and surgical technique improvements aim to enhance outcomes for posterior shoulder instability patients.

Keywords

posterior shoulder instability

bone loss thresholds

knotless fixation

return-to-play timelines

rehabilitation pacing