Orthonotes
Orthonotes
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v3.0 Fusion
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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.
MCQs

High-yield practice questions

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Question 1

What is the primary characteristic of TUBS (Traumatic, Unidirectional, Bankart, Surgery) shoulder instability?

Question 2

Which of the following surgical procedures is preferred for glenoid bone loss greater than 20-25%?

Question 3

What imaging modality is best for assessing labral and capsular pathology in shoulder instability?

Question 4

What is the hallmark of an engaging Hill-Sachs lesion?

Question 5

In which demographic is the recurrence risk after a primary anterior shoulder dislocation highest?

Question 6

What does an ALPSA lesion refer to in shoulder instability?

Question 7

What is the significance of measuring glenoid bone loss in shoulder instability?

Question 8

Which of the following statements is true regarding the open Bankart repair technique?

Question 9

Which structure is primarily responsible for restraining anterior translation of the humeral head?

Question 10

What is a common complication associated with primary shoulder dislocations?