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The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

A 21-year-old male patient who is a football player had recurrent shoulder dislocations during the football season and now presents seeking treatment for his shoulder instability. A computed tomography scan with 3-dimensional reconstruction demonstrates > 40% glenoid bone loss. Which of the following would be an ideal treatment option for this patient?
  • Open Bankart repair
    • This patient needs a bone graft procedure and open Bankart repair is not appropriate for him.

  • Arthroscopic coracoid transfer
    • Arthroscopic or open coracoid transfer procedures are indicated for bone loss of 15% to 35%. Bone loss greater than that that should be addressed with other bone graft options such as an iliac crest autograft or a distal tibial allograft.

  • Open coracoid transfer
    • The width of the coracoid is 33% to 35% of the glenoid width and bone loss of >35% should be addressed with other bone graft options, such as an iliac crest autograft or a distal tibia allograft.

  • Open iliac crest autograft
    • An open iliac crest autograft allows for restoration of large glenoid bony defects that cannot be addressed with a coracoid transfer.

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