Scope Essentials 2024-Algorithm for Management of Primary & Recurrent Anterior Shoulder Instability; Open treatment of clavicle fractures

Algorithm for Management of Primary & Recurrent Anterior Shoulder Instability; Open treatment of clavicle fractures

Video Transcription

Video Summary

Dr. Albert Lin presents an algorithm for managing primary and recurrent anterior shoulder instability, emphasizing early surgery for high-risk patients to reduce recurrence. He highlights evolving concepts of bone loss thresholds and the value of augmented arthroscopic repairs versus open procedures, tailored by patient age, activity, and lesion type. For revisions, open procedures are favored in high-risk cases. On mid-shaft clavicle fractures, he notes a shift from nonoperative management due to higher non-union rates, advocating surgery for high-risk fracture patterns and endorsing dual plating to reduce complications and reoperations. Overall, patient selection and surgery timing are critical for optimal outcomes.

Asset Caption

Albert Lin, M.D.

Keywords

anterior shoulder instability

early surgery

bone loss thresholds

augmented arthroscopic repair

mid-shaft clavicle fractures