Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Shoulder Instability — Revision Surgery

Recurrent instability may follow failed Bankart repair. Causes: capsulolabral failure, glenoid bone loss, engaging Hill-Sachs. Workup: MRI, CT for bone loss quantification. Revision options: repeat Bankart, remplissage, Latarjet, bone grafting. Complications: recurrence, stiffness, graft nonunion, arthritis.

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Recurrent instability may follow failed Bankart repair. Causes: capsulolabral failure, glenoid bone loss, engaging Hill-Sachs. Workup: MRI, CT for bone loss quantification. Revision options: repeat Bankart, remplissage, Latarjet, bone grafting. Complications: recurrence, stiffness, graft nonunion, arthritis.
MCQs

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Question 1

What is the most common cause of failure after primary Bankart repair?

Question 2

What imaging modality is essential for quantifying bone loss before revision surgery for shoulder instability?

Question 3

What percentage of glenoid bone loss typically necessitates a bony procedure like the Latarjet procedure?

Question 4

Which of the following is NOT a mechanism of stabilization provided by the Latarjet procedure?

Question 5

In the context of shoulder instability, the term 'off-track Hill-Sachs lesion' refers to:

Question 6

What is the recurrence rate of instability after primary arthroscopic Bankart repair?

Question 7

Which surgical option is most commonly performed for revision surgery in patients with significant bone loss?

Question 8

The 'glenoid track' concept is critical for understanding shoulder instability. It is defined as:

Question 9

What complication is NOT typically associated with revision surgery for shoulder instability?

Question 10

In the glenoid track formula GT = 0.83 × D − (d + HS width), what does 'D' represent?