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OrthoVellum

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Sports Medicine
intermediate
X-Type

Shoulder Instability Bankart Repair

Shoulder Surgery

A 22-year-old rugby player presents with recurrent anterior shoulder dislocations. He had his first dislocation at age 18 during a tackle and has had 5 subsequent episodes. MRI arthrogram shows an anteroinferior labral tear (Bankart lesion) and a posterolateral humeral head defect (Hill-Sachs lesion). CT with 3D reconstruction shows 18% glenoid bone loss. He wishes to return to contact sports. Regarding anterior shoulder instability:

Mark each as TRUE or FALSE

A

Anterior shoulder instability is the most common direction of instability (95%); recurrence risk fac...

B

Glenoid bone loss greater than 20-25% (inverted pear glenoid) is a critical threshold for considerin...

C

Posterior instability is more common than anterior; first-time dislocations in elderly patients have...

D

Arthroscopic Bankart repair is indicated for anteroinferior labral tears without significant bone lo...

E

The Latarjet procedure transfers the coracoid with the conjoined tendon to the anterior glenoid, pro...

Answer the questions to see explanations

Click T (True) or F (False) for each option