Description
In this talk, Dr. Kapil Kumar presents on shoulder instability, specifically focusing on the glenohumeral joint, which is known for its inherent instability akin to a golf ball on a tee. He highlights the complexities of shoulder injuries faced by recreational athletes rather than elite performers. The discussion includes the role of the glenoid labrum and ligaments in shoulder stability, common injuries in sports like swimming and golf, and the significance of understanding various types of instability presented by patients in clinical settings.
Kumar categorizes shoulder instability into traumatic, structural, and non-structural types, emphasizing the need for a nuanced understanding, especially with young athletes who may present with ligamentous laxity that can lead to instability. He discusses diagnosis and treatment approaches for first-time dislocated shoulders and the implications of prolonged immobilization, underscoring that early mobilization is crucial.
The presentation goes on to cover surgical interventions, primarily focusing on arthroscopic stabilization techniques and when to consider options like the Latarjet procedure for significant bone loss.
Additional topics include the assessment of bone loss in recurrent shoulder dislocations, including the identification of conditions like the Hill Sachs lesion and the implications of bone contour on the efficacy of surgical procedures. Throughout, Kumar stresses the importance of tailored treatment plans based on each patient's specifics, such as their age and activity level, noting high recurrence rates among young males after dislocation due to high-energy trauma. The expert closes the discussion underscoring that a thorough evaluation of bone loss is pivotal to successful surgical outcomes.