Shoulder Instability with Bone Loss: Arthroscopic Treatment Alternative to the Latarjet (AANA19)-Arthroscopic Distal Clavicle Bone Block Techniques & Outcomes-Dr. Jeffrey S. Abrams, M.D.

Arthroscopic Distal Clavicle Bone Block Techniques & Outcomes-Dr. Jeffrey S. Abrams, M.D.

Video Transcription

Video Summary

The lecture discusses managing unstable shoulders, emphasizing that no single orthopedic procedure suits all cases. For early dislocations without bone loss, arthroscopic Bankart repair may suffice. However, athletes with bone loss or failed prior surgeries may require more extensive procedures, like bone grafting. The speaker highlights challenges in measuring bone loss accurately and the importance of assessing soft tissue quality. In some cases, distal clavicle bone grafting offers a promising alternative to traditional bone sources, providing good stability with fewer complications. Capsule tension restoration is vital, and addressing both glenoid and humeral head lesions, along with soft tissue status, guides surgical decisions. Postoperative stiffness and loss of external rotation are concerns, often related to rehabilitation. Overall, careful patient evaluation, including examination under anesthesia, helps tailor treatment. The distal clavicle graft technique shows favorable outcomes in complex cases, including seizure-related instability and revisions, with minimal recurrence and complications reported in their experience.

Asset Caption

Instructional Course Lecture: Shoulder Instability with Bone Loss: Arthroscopic Treatment Alternative to the Latarjet

Keywords

unstable shoulder management

arthroscopic Bankart repair

bone grafting techniques

distal clavicle bone graft

postoperative shoulder rehabilitation