Principle in Shoulder Instability Treatment

Description

In a presentation hosted by the Argentina Shoulder and Elbow Society, Dr. Arrisna Artha from Bali, Indonesia discusses the principles in treating shoulder instability. The talk covers the high recurrence rate of instability—ranging from 30% to 87%—particularly in younger patients and contact athletes, emphasizing the importance of thorough patient evaluation to identify key warning signs such as multiple dislocations and night-time instability. Dr. Artha highlights surgical approaches, including the arthroscopic Bankart repair, as a gold standard for treatment, while also discussing indications for surgical intervention based on patient history and the degree of bone loss around the glenoid. The speaker emphasizes the significance of imaging and quantification of bone loss, providing a detailed algorithm for treatment based on whether bone loss is critical or subcritical. Lastly, the discussion addresses patient factors and the need for careful assessment before deciding on the treatment strategy, including the potential for complications in high-demand athletes. The presentation concludes with a reminder to be vigilant in identifying key signs during history taking and physical examination.

DOI: 10.1302/3114-240939

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