AOSSM Specialty Day 2023 with ISAKOS - no CME-2. AOSSM-ISAKOS - Session I

Video Transcription

Video Summary

In this video, Stephanie Bowden, an orthopedic surgery resident at UPMC, presents research on recurrent anterior shoulder instability after arthroscopic bankart repair. Risk factors for failure after this repair include younger age, male sex, shoulder laxity, bone loss, contact sports participation, and fewer anchors used. The glenoid track concept, which considers the position of the lesion following stabilization, is important for identifying the risk of failure. The study aims to determine if capsule ligamentous laxity affects failure, particularly in patients with near-track lesions. Results show that hyper laxity and a smaller distance to dislocation are independently predictive of recurrent instability, with a higher failure rate in near-track lesions with hyper laxity. The study suggests the need for considering surgical management beyond arthroscopic bankart repair in high-risk patients with these characteristics. Further studies should investigate the effectiveness of additional procedures and dynamic preoperative measurement of the glenoid track.

Keywords

recurrent anterior shoulder instability

arthroscopic bankart repair

risk factors

glenoid track concept

capsule ligamentous laxity