AOSSM Specialty Day 2024 with ASES no CME-AOSSM/ASES Session IV- Shoulder Instability

Video Transcription

Video Summary

Dr. Ivan Wong demonstrated the arthroscopic anterior instability bone block procedure, stressing the importance of good exposure and correct bone block graft shaping. Key steps involve proper insertion of the subscapularis and conjoint tendon, along with the Bankart procedure and REM plissage. Patient positioning and portal placement are critical for alignment during surgery. The video also discusses a case of an 18-year-old male with seizures and shoulder instability, ultimately undergoing open surgery with an autograft bone graft to address significant bone loss and an osteophyte. The panel debated treatment options, highlighting the necessity of surgery due to worsening bone loss and instability. While the patient's progress is positive post-surgery, concerns about arthritis and potential future arthroplasty remain.

Keywords

arthroscopic anterior instability bone block procedure

exposure

bone block graft shaping

subscapularis

conjoint tendon

Bankart procedure

REM plissage

patient positioning

portal placement

open surgery

autograft bone graft

shoulder instability