Case-based Approach to the Management of AC Joint Injuries – An International Perspective (2021 Annual Meeting)-Case Discussion-Mulcahey

Video Transcription

Video Summary

A 32-year-old male with right shoulder pain and instability related to a previous grade 3 AC joint separation and contralateral glenohumeral instability was evaluated. Imaging revealed a Bankart lesion and 17% glenoid bone loss with an on-track Hill-Sachs lesion. Experts emphasized the importance of MRI to detect associated pathologies like labral or rotator cuff tears. Arthroscopic Bankart repair followed by AC joint reconstruction using allograft or autograft was performed. Rehabilitation strategies and surgical sequencing were discussed, highlighting simultaneous treatment benefits and considerations for complex cases. The case underscored comprehensive evaluation and combined management for optimal outcomes in chronic AC joint instability.

Asset Caption

Dr. Mary Mulcahey

Keywords

AC joint separation

Bankart lesion

glenoid bone loss

Hill-Sachs lesion

arthroscopic Bankart repair