2024 AOSSM Annual Meeting Recordings no CME-AOSSM24_Concurrent Session D- SLARD- Shoulder Instability

Video Transcription

Video Summary

This session, presented by SLARD with AOSSM, discusses various aspects of shoulder instability treatment in South America. Four speakers from Colombia, Mexico, Peru, and Venezuela shared their insights and experiences.<br /><br />The session included a historical overview of the Bankart repair, exploring its development and evolution from the early 20th century to modern techniques like arthroscopy. It was emphasized that improvements in surgical tools and techniques have significantly reduced failure rates.<br /><br />The speakers highlighted several key points:<br /><br />1. <strong>Modern Surgical Techniques</strong>: The discussion included the efficacy of modern arthroscopic Bankart repairs and the common complications associated with these procedures. It was noted that while arthroscopic Bankart repair has advantages such as improved surgical view and smaller incisions, it also has a steep learning curve.<br /><br />2. <strong>Bony Defects and Glenoid Bone Loss</strong>: The significance of addressing glenoid bone loss in surgical decisions was emphasized. Various techniques like Laterjet and remplissage were explored, with claims that modern procedures can handle glenoid defects more effectively.<br /><br />3. <strong>Patient-Specific Approaches</strong>: Techniques like the Dynamic Anterior Stabilization (DAS) using the long head of the biceps were introduced for treating subcritical bone loss, showing promise in improving outcomes for specific patient groups.<br /><br />4. <strong>Complication Management</strong>: Discussions were held on managing complications from procedures such as Laterjet, and the importance of recognizing hyperlaxity and bone block issues.<br /><br />5. <strong>Future Directions</strong>: Advances in the computational evaluation of glenoid defects and the potential integration of artificial intelligence in surgical planning were discussed.<br /><br />Finally, the event concluded with a Q&A session where the importance of proper patient evaluation and tailored surgical approaches were reinforced, along with the need for more long-term studies on newer techniques like DAS.

Asset Caption

2:20 pm - 3:20 pm

Meta Tag

Speaker David Torres, MD

Speaker Felipe Valbuena, MD, MEd

Speaker Christian Lozano, MD

Speaker Fernando Lossada, MD

Speaker Fabricio Fabela, MD

Keywords

David Torres, MD

Felipe Valbuena, MD, MEd

Christian Lozano, MD

Fernando Lossada, MD

Fabricio Fabela, MD

shoulder instability

Bankart repair

arthroscopy

glenoid bone loss

Laterjet procedure

Dynamic Anterior Stabilization

surgical complications

artificial intelligence

patient-specific approaches