Orthonotes
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Shoulder Instability — Bankart/Latarjet

TUBS (Traumatic, Unidirectional, Bankart, Surgery) vs AMBRI (Atraumatic, Multidirectional, Bilateral, Rehab, Inferior capsular shift). Glenoid bone loss >20–25% → Latarjet (coracoid transfer) preferred over soft‑tissue Bankart alone. Engaging Hill‑Sachs lesions benefit from remplissage or bony procedures. Arthroscopic Bankart repair is standard for soft‑tissue instability with low bone loss; open has lower recurrence but more stiffness. CT with 3‑D en‑face view quantifies glenoid bone loss; MRI arthrogram for labral/capsular pathology.

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TUBS (Traumatic, Unidirectional, Bankart, Surgery) vs AMBRI (Atraumatic, Multidirectional, Bilateral, Rehab, Inferior capsular shift). Glenoid bone loss >20–25% → Latarjet (coracoid transfer) preferred over soft‑tissue Bankart alone. Engaging Hill‑Sachs lesions benefit from remplissage or bony procedures. Arthroscopic Bankart repair is standard for soft‑tissue instability with low bone loss; open has lower recurrence but more stiffness. CT with 3‑D en‑face view quantifies glenoid bone loss; MRI arthrogram for labral/capsular pathology.
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