AANA19 Shoulder Access Pass-Real Deal on Glenoid Track-Dr. John M. Tokish, M.D.

Real Deal on Glenoid Track-Dr. John M. Tokish, M.D.

Video Transcription

Video Summary

The speaker reflects on early challenges in treating shoulder instability with arthroscopic Bankart repairs, emphasizing the critical role of bone loss. Studies show failure rates rise significantly with glenoid bone loss, even at subcritical levels around 13.5%. The concept of "on-track" vs. "off-track" lesions combines glenoid and humeral bone loss to predict outcomes. The speaker describes a simple imaging method to calculate the glenoid track and shares clinical validation showing on-track lesions have much better outcomes than off-track ones. The key takeaway is that bone loss must be carefully assessed and addressed beyond simple Bankart repairs to avoid high failure rates.

Keywords

shoulder instability

arthroscopic Bankart repair

glenoid bone loss

on-track off-track lesions

glenoid track imaging