IC 202

Title: Beyond the Arthroscopic Bankart: Advanced Techniques for Addressing Anterior Glenohumeral Instability    

Course Description:

The arthroscopic Bankart is the most common procedure for patients with anterior glenohumeral instability, but the latest quality data indicate failure rates may be higher than previously recognized. While this procedure plays an important role in treatment of anterior instability, it is important to understand conditions that may predispose the arthroscopic Bankart to failure and to identify these and perform adjunctive or alternative stabilization techniques judiciously in order to reduce failure rates and optimize patient outcomes and return to sport. In this round table Instructional Course, we will present a series of anterior instability cases with evidence-based discussion that may support treatment other than arthroscopic Bankart to improve outcomes. The first two cases will focus on anterior instability with bone loss, and discussion of treatment options including arthroscopic Bankart with adjunctive remplissage, as well as open and arthroscopic anterior bone block procedures (latarjet and allograft bone block). Subsequent cases will address HAGL treatment open and arthroscopic, as well as the lost art of the open Bankart. Throughout the case discussion, we will present evidence-based rationale for treatment and technical pearls, while also allowing the audience time to discuss the cases and ask questions of the faculty.   

Learning Objectives:

• To review patient and pathology related reasons for failure of arthroscopic Bankart     
• To discuss treatment options, indications, and technical pearls for addressing anterior instability with bone loss, including bone block procedures and remplissage      
• To review diagnosis of HAGL as well as pearls for open and arthroscopic repair of these lesions        
• To discuss the lost art of the open Bankart repair and its role in current treatment of anterior instability

Faculty:

Gregory Cvetanovich, MD

Julie Y. Bishop, MD

Stephen F. Brockmeier, MD

Brian R. Wolf, MD, MS

Rachel Frank, MD