Management of Glenoid Bone Loss in Shoulder Instability: Where We Are in 2023
Instr Course Lect. 2024;73:691-707.ABSTRACTThe management of glenoid bone loss in shoulder instability can be challenging. Although shoulder instability can often be managed with arthroscopic soft-tissue procedures alone, the extent of glenoid bone loss and bipolar bone defects may require bone augmentation procedures for restoration of stability. In this setting, patient evaluation, examination, treatment options, and surgical pearls are vital. Furthermore, a treatment algorithm is established to guide both indications and the technical application of procedures including Bankart repair with remplissage, Latarjet procedur...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Michael T Kody Jack Anavian Ronald A Navarro Evan S Lederman Phob Ganokroj Ryan J Whalen John M Apostolakos Capt Matthew T Provencher Source Type: research
Case-Based Understanding of the Role of the Scapula in Common Shoulder Pathologies
Instr Course Lect. 2024;73:709-724.ABSTRACTScapular dyskinesis is an extremely common component of shoulder pathology, especially in the overhead athlete; despite its prevalence, proper diagnosis and management of scapular disorders remains an enigma for many clinicians. An understanding of the contribution of the scapula to pathomechanics and clinical symptoms is necessary to optimize both surgical and nonsurgical treatment of shoulder disorders. Without correction of scapular dysfunction, even effective management of the pathoanatomy is unlikely to produce optimal results. It is important to examine the role of the scapu...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Austin V Stone Jeffrey Grantham Aaron Sciascia William B Kibler Source Type: research
Elbow Ulnar Collateral Ligament Tears in 2023: Evaluation and Management
Instr Course Lect. 2024;73:725-736.ABSTRACTThe ulnar collateral ligament, also called the medial collateral ligament of the elbow, is the primary stabilizer against valgus loads. This ligament can be traumatically torn, such as in an elbow dislocation, or can tear through attritional damage with overhead sports. Although baseball pitching is the most common contributor, these injuries also occur with volleyball, gymnastics, and javelin throwing. Patients most commonly report a history of medial elbow pain with associated loss of command, control, and throw velocity. The ulnar nerve lies directly superficial to the posterio...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Peter N Chalmers Eric Bowman Brandon J Erickson Matthew V Smith Christopher L Camp Michael T Freehill Source Type: research
Evaluation and Management of the Athlete's Hip
Instr Course Lect. 2024;73:737-748.ABSTRACTHip and groin pain is common in athletes, and there are many possible underlying pathologies. It is important to describe athletic hip pathology in the context of sport-specific physiologic loads and biomechanical demands. Three distinct types of athletes with this pathology are collision athletes, hypermobility athletes, and endurance athletes. Although there is considerable overlap between sports, athletes with hip pain should always be evaluated in the context of their sport. Understanding the effect of sport-specific biomechanical demands may help with both diagnosis and treat...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Caitlin A Orner Madison Sakheim Robert W Westermann Joshua D Harris Thomas H Wuerz Michael Banffy Source Type: research
Measure Twice, Cut Once: The Future of Digitally Planned Knee Osteotomies
Instr Course Lect. 2024;73:749-763.ABSTRACTIt is important to highlight the use of patient-specific cutting guides for knee joint osteotomies. Rationale, pitfalls, and planning of conventional osteotomy techniques are examined. The benefits of using patient-specific guides focusing on the potential for improved accuracy, efficiency, and safety are reviewed. The versatility of guides to manipulate the slope in both the coronal and sagittal planes, as well as its ability to accommodate concomitant procedures, is discussed. The time and cost differentials between standard cutting guides and three-dimensional-guided templating...
Source: Instructional Course Lectures - December 13, 2023 Category: Orthopaedics Authors: Michael Buldo-Licciardi Ariana Lott Ian Savage-Elliott Andreas H Gomoll Anil S Ranawat Michael J Alaia Laith M Jazrawi Source Type: research
