2024 Albert Lin, M.D.

Key findings include:

  • Bone Loss & Risk Factors: Patients with greater than 20% bone loss require reconstruction, but even 10% can be critical depending on demographics and risk factors.
  • Glenoid Track & Near-Track Lesions: The closer an on-track lesion is to off-track status, the higher the failure risk, especially in contact athletes.
  • Pittsburgh Instability (PIT) Score: A risk assessment tool that factors in age, contact sports, hyperlaxity, and bone loss percentage to predict outcomes and determine the benefit of a remplissage procedure.
  • Remplissage for On-Track Shoulders: High-risk patients, particularly collision athletes, may benefit from remplissage even with on-track lesions.

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