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OrthoVellum

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Sports Medicine
intermediate
X-Type

Shoulder Instability Treatment

Shoulder Injuries

A 22-year-old rugby player presents with recurrent anterior shoulder dislocations. He has had 5 dislocations over 2 years, all requiring reduction in the emergency department. MRI arthrogram shows a Bankart lesion. CT scan reveals 20% glenoid bone loss and an engaging Hill-Sachs lesion. He wishes to return to competitive rugby. Regarding shoulder instability:

Mark each as TRUE or FALSE

A

Anterior shoulder instability is most common (95%); the typical mechanism is forced abduction, exter...

B

Glenoid bone loss is critical for surgical planning: measured as percentage of inferior glenoid diam...

C

Posterior instability is more common than anterior; the Hill-Sachs lesion is located on the anterome...

D

Arthroscopic Bankart repair: indicated for traumatic anterior instability with minimal bone loss (le...

E

Latarjet procedure: indicated for significant glenoid bone loss (greater than 20%), off-track Hill-S...

Answer the questions to see explanations

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