2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Introduction: 17-Year-Old Baseball Player With Dominant Shoulder First-Time Dislocation

Debate Introduction: 17-Year-Old Baseball Player With Dominant Shoulder First-Time Dislocation

Video Transcription

Video Summary

A 17-year-old left-handed center fielder, highly recruited for Division I baseball, suffered his first left shoulder dislocation diving for a ball just before his senior season. Examination showed limited motion, some apprehension, a positive anterior load and shift, but good strength and intact nerves. Imaging revealed a small Hill-Sachs lesion and minor Bankart injury without bony deformity; a congenital biceps dislocation was noted but unrelated. The debate focuses on the best surgical treatment approach for this dominant shoulder, first-time dislocation athlete, with expert opinions from Dr. Murthy and Dr. Mel Cahey to follow.

Asset Caption

Alan S. Curtis, M.D., FAANA

Keywords

left shoulder dislocation

17-year-old athlete

Division I baseball recruit

Hill-Sachs lesion

Bankart injury