AOSSM Youth to the NFL Sports Medicine Course no CME-Surgical Options for Shoulder Instability

Video Transcription

Video Summary

In the video, the speaker discusses surgical options for shoulder instability. They emphasize the importance of evaluating various factors such as age, gender, activity level, and time from initial dislocation when deciding on the appropriate surgical approach. For anterior instability, the options mentioned are arthroscopic repair, arthroscopic repair with REM plissage, open anterior capsular labor reconstruction, bankart modification, coracoid transfer, and bone transfers. For posterior instability, arthroscopic repair is the primary option, with better outcomes in return to sport for contact athletes. The speaker also mentions the importance of addressing bony defects and considers factors like bone loss, associated pathology, and patient expectations. The conclusion emphasizes that arthroscopy is the preferred approach in the correct patient, and the decision on the surgical procedure depends on the specific pathology and bone loss. The glenoid track instability management system is suggested as a better scoring system for evaluating instability severity.

Asset Caption

Presented by James P. Bradley MD

Keywords

surgical options

shoulder instability

evaluation factors

anterior instability

posterior instability