AANA24 Sports Rehabilitation Symposium-AANA24 Sports Rehabilitation Symposium

Video Transcription

Video Summary

The transcript captures an inaugural allied health/physical therapy session at the Arthroscopy Association, aimed at integrating PTs, PAs, and surgeons, providing affordable membership benefits (education resources, journal access), and building a national referral network for coordinated patient care.<br /><br />Most of the program focuses on shoulder pathology and rehabilitation. Surgeons outline anterior instability concepts (instability vs laxity; acute vs chronic; dynamic and static stabilizers), common lesions (Bankart variants, HAGL, Hill-Sachs), and decision-making for operative vs nonoperative care—especially in high-risk first-time dislocators and recurrent cases where bone loss matters. Discussions cover surgical options from arthroscopic/open Bankart to bone-block procedures (Latarjet, free bone blocks, distal tibia allograft) and humeral-sided procedures like remplissage, emphasizing thresholds for addressing glenoid/humeral bone loss. Revision instability surgery is highlighted as higher risk, with open Bankart often outperforming revision arthroscopy.<br /><br />Posterior instability is presented as distinct (often pain-driven, sometimes true dislocation), common in military/weightlifting populations, with emphasis on thorough exam (Kim/Jerk), imaging, anchor number/placement, and rehab progression. A recorded talk reviews post-op stabilization rehab tailored to procedure (anterior vs posterior, Latarjet, remplissage), stressing staged ROM, neuromuscular control, and return-to-sport criteria.<br /><br />Overhead athlete talks emphasize avoiding surgery when possible, evaluating the kinetic chain, total arc of motion (not just GIRD), scapular mechanics, and progressive strengthening. PT content includes heavy posterior cuff loading, dynamic stabilization, workload/capacity management, and neurocognitive/reactive training for return-to-play testing.<br /><br />Later sessions address rotator cuff repair technique/biology (tension, single vs double row, microfracture, augmentation) and management of stiffness/failed repairs. The afternoon shifts to lower extremity topics: meniscus preservation/repair rationale, ACL graft selection, renewed interest in ACL repair for proximal tears, and ACL rehab principles centered on early ROM (especially extension), quad recovery, and safe progression back to sport.

Asset Caption

Moderator: Alan S. Curtis, M.D., FAANA

Keywords

Arthroscopy Association allied health session

physical therapy integration with surgeons

shoulder anterior instability

Bankart lesion variants

HAGL lesion

Hill-Sachs lesion

glenoid bone loss thresholds

Latarjet bone-block procedure

remplissage procedure

revision shoulder instability surgery

posterior shoulder instability (Kim/Jerk tests)

post-op shoulder stabilization rehabilitation

overhead athlete kinetic chain and scapular mechanics

rotator cuff repair technique and augmentation

ACL graft selection and rehabilitation