Traumatic Anterior Shoulder Instability (TUBS)

Question 1

Instability Severity Score

Answer 1

Question 2

Nonoperative

Answer 2

• acute reduction, ± immobilization, followed by therapy

Question 3

Operative

Answer 3

1. Arthroscopic Bankart repair +/- capsular shift
2. Open Bankart repair +/- capsular shift
3. Latarjet (coracoid transfer) and Bristow Procedures for glenoid bone loss
4. Autograft (tricortical iliac crest) or allograft (iliac crest or distal tibia) for glenoid bone loss
5. Remplissage technique for Hill Sachs defects
6. Bone graft reconstruction for Hill Sachs defects
7. Historical procedures: Putti-Platt / Magnuson-Stack / Boyd-Sisk