When Is a Bankart Not Enough? Managing Subcritical Glenoid Bone Loss and Hill-Sachs Lesions in Anterior Instability.

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PLEASE NOTE AS OF JUNE 1, 2026
The Live Webinar will be recorded and made available for purchase.

CME On-Demand Recording: Link will be made Available 48 business hours after event

This recording is primarily intended for registrants who did NOT attend the live webinar and would like access to the content after the event.

Please note that participants may not claim CME credit for both the live webinar and the CME On-Demand recording. Attendees who receive CME credit for the live event will not be eligible to purchase the CME On-Demand version.

*To receive CME credit, attendees must participate in the entire live event, as attendance is tracked.*

If you are unable to attend the Live Webinar after registering but would like to purchase the CME On-Demand recording, please contact [email protected] for assistance.

When Is a Bankart Not Enough? Managing Subcritical Glenoid Bone Loss and Hill-Sachs Lesions in Anterior Instability.

Anterior shoulder instability with subcritical glenoid bone loss and Hill-Sachs lesions remains a challenging area in which failure to recognize bipolar bone loss can lead to recurrent instability and suboptimal outcomes. This practical, case-based webinar will review the natural history and evaluation of subcritical glenoid bone loss, assessment and management of Hill-Sachs defects including on-track/off-track principles, and a surgical framework for choosing among soft-tissue stabilization, remplissage, open Bankart repair, and glenoid augmentation. Faculty will emphasize evolving indications and technical pearls, including arthroscopic distal tibial allograft reconstruction for selected glenoid bone-loss patterns. Interactive cases, audience polling, and panel discussion will focus on the difficult clinical scenarios in which a Bankart repair alone may not be enough.

*This activity has been approved for 1.0 AMA PRA Category 1 Credit™.
**To receive CME credit, attendees must participate in the entire live event, as attendance is tracked.

LEARNING OBJECTIVES
Upon completion of this educational activity, learners should be able to:  

1. Evaluate anterior shoulder instability with bipolar bone loss by accurately measuring glenoid bone loss and characterizing Hill-Sachs lesions using glenoid-track and on-track/off-track principles.

2. Integrate the natural history of recurrent anterior instability and the clinical significance of subcritical glenoid bone loss with patient-, sport-, and lesion-specific risk factors when planning surgical stabilization.

3. Apply a practical treatment algorithm to select among arthroscopic Bankart repair, Bankart repair with remplissage, open Bankart repair, and glenoid bony augmentation, including arthroscopic distal tibial allograft reconstruction, while recognizing common technical pitfalls and causes of failure.

AGENDA:  CST

7:00-7:05 PM - Introduction (Nicholas Lemme, MD; Ryan Rauck, MD)

7:05-7:15 PM - Anterior Instability and Subcritical Glenoid Bone Loss: Natural History, Evaluation, and Why It Matters (Jonathan F. Dickens, MD)

7:15-7:25 PM - Hill-Sachs Lesions: Evaluation, Glenoid Track, and Humeral-Sided Management (Albert Lin, MD)

7:25-7:35 PM - Managing Glenoid Bone Loss: Surgical Algorithms and Arthroscopic Distal Tibial Allograft (Ivan H. Wong, MD, FRCSC)

7:35-7:50 PM - Case-Based Panel Discussion: Bankart + Remplissage, Open Bankart, and Bony Augmentation for Challenging Instability Cases (Moderators and Faculty)

7:50-8:00 PM - Audience Q&A and Take-Home Treatment Algorithm (Faculty)

Dr. Nicholas Lemme is an Assistant Professor of Orthopaedics in the Department of Orthopaedics at Brown University and an orthopaedic sports medicine surgeon at University Orthopedics. He completed his orthopaedic surgery residency at Brown University, followed by an Orthopaedic Trauma Fellowship at Brown and a Sports Medicine Fellowship at Rush University Medical Center.

His clinical and research interests include shoulder instability, ACL and multiligament knee reconstruction, meniscal and cartilage preservation, and the treatment of athletic injuries. Dr. Lemme has authored or coauthored more than 90 peer-reviewed publications. His research has been recognized with the 2024 AOSSM Cabaud Memorial Award for Best Basic Science Manuscript.

Dr. Lemme serves on the AOSSM Research Committee and as a peer reviewer for the American Journal of Sports Medicine. He currently serves as a Head Team Physician for Providence College Friars Basketball.

Dr. Ryan Rauck is an Assistant Professor of Orthopaedic Surgery at The Ohio State University Wexner Medical Center, specializing in shoulder surgery and sports medicine. He also serves as a team physician for Ohio State football. 

Dr. Jonathan F. Dickens is a Professor of Orthopaedic Surgery, Team Physician, and Fellowship Director and Duke Orthopaedics. Colonel Dickens also serves in the United States Army Reserves as a Professor of Surgery at the Uniformed Services University of the Health Sciences (USUHS). He is the past Chief of Orthopaedic Sports Medicine and Shoulder Surgery at Walter Reed National Military Medical Center where he was the orthopaedic consultant to Office of the President of the United States and White House Medical Unit, Vice-Chair Department of Surgery USUHS, Professor of Surgery, Physical Medicine and Rehabilitation, and Director of Orthopaedic Research. Dr. Dickens has completed American Orthopaedic Association (AOA) North American Fellowship, the AOA American British Canadian Fellowship, and the American Orthopaedic Society for Sports Medicine (AOSSM) ESSKA Travelling. He is recipient of the AOSSM Excellence in Research Award twice as well as the AAOS OREF Kappa Delta Ann Donner Vaughn Award.

Dr. Albert Lin is Professor and Vice Chair of Education, Residency Program Director, Chief of Shoulder Surgery, Co-Director of the Pittsburgh Shoulder Institute, and Associate Chief of Sports Medicine at the University of Pittsburgh. He earned his undergraduate degree magna cum laude from Harvard University, his medical degree from Harvard Medical School, and completed his orthopaedic residency through the Harvard Combined Orthopaedic Residency Program, followed by fellowships in sports medicine at UPMC and shoulder surgery at Harvard and the Centre Orthopedique Santy in Lyon, France.

Dr. Lin specializes in the care of athletes and shoulder conditions, with extensive experience in shoulder arthroscopy, arthroplasty, and complex reconstructive surgery. He is active in AAOS, AOSSM, ASES, ISAKOS, and AOA, and was inducted into the Herodicus Society and ASES Neer Circle in 2022. He co-chairs the ASES education committee, serves on ISAKOS scientific and shoulder committees, and is a founding board member of the international Rotator Cuff Study Group. He is associate editor for JBJS Case Connector, editor-in-chief of Annals in Joint, and sits on the editorial boards of KSSTA and Arthroscopy.

Dr. Lin has published over 190 peer-reviewed papers and more than 500 abstracts and book chapters on shoulder instability, rotator cuff pathology, and arthroplasty, earning multiple awards from AAOS, ASES, AOSSM, and Arthroscopy. He has completed two NIH grants as Principal Investigator and currently serves as Co-Investigator on NIH and DoD grants studying shoulder instability. As Residency Program Director since 2022, he is deeply involved in medical education and has received several mentorship awards. He also serves on multiple UPMC leadership committees and is head team physician for Duquesne University and Pittsburgh Central Catholic High School.

Dr. Ivan Wong, FRCSC, MAcM, Dip. Sport Medicine, FAANA, is a Professor of Orthopaedic Surgery at Dalhousie University and Co-Director of the Joint Preservation, Sports Medicine and Arthroscopy Fellowship Program. He specializes in hip and shoulder arthroscopy and advanced arthroscopic reconstruction techniques. Dr. Wong's research focuses on surgical innovation, medical education, and technologies that improve patient outcomes and surgeon training. He has published more than 200 peer-reviewed articles, delivered over 350 presentations internationally, and has trained orthopaedic surgeons, fellows, and residents from around the world.

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

AMA CREDIT DESIGNATION STATEMENT
The American Orthopaedic Society for Sports Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABOS MOC CREDIT STATEMENT
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Orthopaedic Surgery’s (ABOS) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

CLAIMING CREDIT
In order to obtain AMA PRA Category 1 Credit™ participants must attend the webinar in its entirety and complete the online evaluation. No hard copy submissions will be accepted.

Disclosures

FACULTY

Nicholas Lemme, M.D.
has no relevant financial relationship(s) with ineligible companies to disclose.

Ryan Rauck, M.D.

Arthrex, Inc.

Speakers bureau/honorarium payment

Arthrex, Inc.

Paid consultant for a company/supplier

Arthrex, Inc.

Research support from company/supplier

Jonathan Dickens , M.D.

Asante Bio

Paid consultant for a company/supplier

Sparta

Unpaid consultant for company/supplier

Restor3d

Unpaid consultant for company/supplier

RevBio

Unpaid consultant for company/supplier

Albert Lin, M.D.

Arthrex, Inc

Royalties from a company/supplier

Arthrex, Inc

Speakers bureau/honorarium payment

Arthrex, Inc

Paid consultant for a company/supplier

Stryker Endoscopy

Paid consultant for a company/supplier

Restor3d

Paid consultant for a company/supplier

Arthroscopy

Royalties from med/ortho publishers

Restor3d

Stock options privately held

Ivan Wong, M.D.

ConMed Linvatec

Paid consultant for a company/supplier

DePuy Mitek

Paid consultant for a company/supplier

Smith & Nephew Orthopaedics

Paid consultant for a company/supplier

PLANNERS

Christina Ortega
has no relevant financial relationship(s) with ineligible companies 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: November 17, 2026
TERMINATION DATE: November 16, 2029