AOSSM/AANA Specialty Day 2020-DEBATE_ 22-Year-Old Recreational Male Athlete Sustains 4th Anterior Dislocation_ 15% Glenoid Bone Loss

DEBATE_ 22-Year-Old Recreational Male Athlete Sustains 4th Anterior Dislocation_ 15% Glenoid Bone Loss_Hill-Sachs Lesion

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Video Transcription

Video Summary

A 22-year-old recreational male athlete with a fourth anterior shoulder dislocation presents with 15% anterior glenoid bone loss and an off-track Hill-Sachs lesion. Arthroscopic views in lateral decubitus reveal significant anterior bone loss and a large posterior Hill-Sachs lesion. This case highlights the challenges in managing shoulder instability with combined bone lesions. The focus is on determining the optimal surgical approach to ensure long-term shoulder stability and function. The discussion aims to guide treatment decisions balancing lesion characteristics and patient activity level for the best outcome.

Keywords

anterior shoulder dislocation

anterior glenoid bone loss

off-track Hill-Sachs lesion

arthroscopic shoulder surgery

shoulder instability management