Shoulder Instability with Bone Loss: Arthroscopic Treatment Alternative to the Latarjet (AANA19)-Pro Op Measurment of Bone Loss and Holistic Repair-Dr. John D. Kelly, M.D.

Pro Op Measurment of Bone Loss and Holistic Repair-Dr. John D. Kelly, M.D.

Video Transcription

Video Summary

The speaker emphasizes shoulder surgeons' responsibility to address bone loss in shoulder instability, highlighting that "critical bone loss" is a moving target influenced by glenoid geometry and lesion location. Traditional thresholds vary from 7% to 25%. Imaging advancements show 3D MRI is nearly as effective as CT scans for glenoid assessment, minimizing radiation exposure risks. The speaker favors remplissage for Hill-Sachs lesions under 40%, often combined with bone grafting for glenoid defects over 20%. Clinical evaluation, particularly apprehension at low abduction, remains crucial. Overall, management is individualized, balancing imaging, lesion characteristics, and surgical techniques for optimal outcomes.

Asset Caption

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

Keywords

shoulder instability

critical bone loss

3D MRI

remplissage

Hill-Sachs lesions