Arthroscopic Glenoid Reconstruction, Bone Blocks and Transfers in the Management of Complex Shoulder Instability With Bone Loss: Advanced Concepts and Surgical Techniques: Interactive and Case -Based (AANA22)-Instability Cases...A Family Affair

Video Transcription

Video Summary

The presentation discussed complex shoulder instability cases in young male patients with recurrent dislocations and varying activity levels. The first case involved an 18-year-old non-athletic UPS worker with recurrent shoulder dislocations managed initially by arthroscopic Bankart repair, which failed due to non-compliance and further trauma. Revision surgery with an open Latarjet bone block was ultimately chosen. The second case featured the younger athletic brother, a lacrosse goalie with a Bankart lesion and a loose body, initially managed non-operatively to allow playing his freshman season. Later, he underwent arthroscopic loose body removal and open Latarjet due to persistent symptoms. The talk emphasized individualized treatment decisions, shared decision-making with patients/families, and balancing surgery timing with athletes’ goals. It highlighted current debates on arthroscopic vs. open procedures, bone block use, and the need for longer-term data. Audience questions focused on surgical approaches, indications for scopes with Latarjet, and management in contact athletes like lacrosse goalies.

Asset Caption

Mark H. Getelman, M.D.

Keywords

shoulder instability

Bankart repair

Latarjet procedure

recurrent dislocations

arthroscopic surgery