IC 202-2022: Beyond the Arthroscopic Bankart: Advanced Techniques for Addressing Anterior Glenohumeral Instability

Information

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

ADDITIONAL INFORMATION

Accreditation

The American Orthopaedic Society for Sports Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Information

The American Orthopaedic Society for Sports Medicine designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

In order to obtain AMA PRA Category 1 Credits™ participants must complete the activity and evaluation. Please note that this is an online-only activity. Participants must complete the activity and evaluation online. No hard copy submissions will be accepted.

Disclosures

This activity is supported in part by an educational grant from Smith & Nephew.

Cvetanovich, Gregory (MD)
No Relevant Financial Relationships

Bishop, Julie (MD)
Paid Consultant relationship with stryker medical/tornier; Paid Consultant relationship with Smith and Nephew

Brockmeier, Stephen (MD)
Royalties relationship with Exactech; Royalties relationship with Zimmer Biomet; Royalties relationship with Arthrex; Speaker's Bureau/Presenter relationship with Exactech; Speaker's Bureau/Presenter relationship with Zimmer Biomet; Speaker's Bureau/Presenter relationship with Arthrex; Paid Consultant relationship with Exactech; Paid Consultant relationship with Arthrex; Paid Consultant relationship with WorkForce Rx; Research Support relationship with Exactech; Research Support relationship with Arthrex; Royalties, Financial or Material Support from Publishers relationship with Springer

Frank, Rachel (MD)
Research Support relationship with Arthrex; Royalties, Financial or Material Support from Publishers relationship with Elsevier; Speaker's Bureau/Presenter relationship with AlloSource; Speaker's Bureau/Presenter relationship with Arthrex, Inc; Speaker's Bureau/Presenter relationship with JRF; Speaker's Bureau/Presenter relationship with Ossur; Research Support relationship with Smith & Nephew; Paid Consultant relationship with Arthrex; Paid Consultant relationship with JRF; Paid Consultant relationship with AlloSource

Wolf, Brian (MD, MS)
Royalties relationship with ConMed; Paid Consultant relationship with ConMed; Speaker's Bureau/Presenter relationship with ConMed

Julie Ducey (Planner-Staff)
Nothing to Disclose

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, we have implemented measures to identify and mitigate relevant financial relationships. All individuals in control of content have disclosed their financial relationships with ineligible companies within the past 24 months. These relationships have been reviewed and mitigated.

ORIGINAL RELEASE DATE: 10/01/2022
TERMINATION DATE: 09/30/2025

Summary


Availability:	On-Demand
	Expires on Sep 30, 2025


Cost:	Member: $20.00 Resident/Fellow Member: $20.00 Affiliate Member: $20.00 Non-Member: $30.00


Credit Offered:	1.5 CME Credits