IC 107
A Case-Based Approach to Managing Complex Problems in the Young Adult: Arthritis, Irreparable Rotator Cuff, and Recurrent instability

Course Description:

The goal of this ICL is to cover some of the more difficult shoulder problems that occur in patients of younger ages. We will begin by discussing young patients who are suffering from arthritis and will present 1-2 cases of young patient with arthritic changes and how they were managed. From there we will present 1-2 cases of irreparable rotator cuff tears in young patients and have a discussion on the various treatment options and how to be manage this problem in these patients. Finally, we will discuss recurrent instability after previous Bankart repair. We will present 1-2 cases of young patient who underwent arthroscopic Bankart repair or Latarjet and who subsequently continued to dislocate. With each of these topics we will cover diagnosis including imaging, non-operative and operative treatment options, rehabilitation and when these patients should be allowed to return to sport if they are athletes

Learning Objectives:

• Understand the prevalence of arthritis in young patients, how to properly diagnose this issue, what treatment options exist, and how to decide on the best treatment option for each individual patient
• Understand diagnosis and management of irreparable rotator cuff tears in young patients including available treatment options, surgical technical pearls, and rehabilitation
• Understand how to manage recurrent instability with and without bone loss in young patients

Faculty:

Peter N. Chalmers, MD 

Gregory L. Cvetanovich, MD       

Brandon J. Erickson, MD