Challenges & Solutions - Managing Upper Limb Instability in Children and Adolescents

Description

This presentation from BOA 2024 focuses on the topic of post-traumatic shoulder instability in children, exploring the challenges faced by pediatric surgeons and the solutions available for managing these patients. Mr Gregory Firth expresses gratitude for the opportunity to discuss this subject amidst experienced colleagues, highlighting the importance of collaboration in patient care.



The talk outlines specific pediatric concerns related to shoulder instability, noting the rising participation of children in competitive sports and the unique anatomical considerations that affect treatment optioMr Firth emphasizes the need for careful assessment of patients, indicating that different cases may require varied approaches, including surgery or conservative management.



Key points include the importance of imaging to detect underlying lesions and the significant differences in recurrence rates between younger children and adolescents. Mr Firth shares case studies to illustrate how individual patient factors, such as skeletal maturity and the extent of injury, influence treatment decisions.



Throughout the presentation, themes of teamwork, communication with families regarding treatment expectations, and consideration of the child's aspirations in sports play a prominent role. The presentation concludes with a reiteration of the complexity of pediatric shoulder injuries, encouraging ongoing dialogue among specialists to enhance the understanding and management of these cases.

DOI: 10.1302/3114-251228

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