2024 AANA/ISAKOS Specialty Day All-Access Pass-17-Year-Old Baseball Player With Dominant Shoulder First-Time Dislocation Discussion & Voting

17-Year-Old Baseball Player With Dominant Shoulder First-Time Dislocation Discussion & Voting

Video Transcription

Video Summary

The discussion centers on managing first-time shoulder dislocations in young throwing athletes. Experts debate non-operative versus operative treatment, emphasizing surgery for dominant-arm injuries in competitive athletes, citing lower recurrence rates post-operation (8-9%) compared to nearly 100% without surgery. MRI findings and patient goals influence decisions. Arthroscopic stabilization is favored over open surgery for a 17-year-old pitcher, focusing on anatomical repair without overtightening. Post-op rehab protocols vary: sling use (4-6 weeks), early motion, and strength assessments guide return to play around four months. The panel stresses shared decision-making with families, balancing risks, functional outcomes, and athletic aspirations.

Keywords

shoulder dislocation

throwing athletes

operative treatment

arthroscopic stabilization

post-operative rehabilitation