AANA Lab Course 904 - Shoulder Superstars: Everything You Can Do in a Shoulder Through the Scope! (APEx)-Case Presentation

Pdf Summary

This document presents an overview of shoulder instability focusing on diagnosis and treatment, authored by Dr. Jeffrey S. Abrams. It includes a case study of a 17-year-old high school football player who sustained a shoulder injury during a game but initially continued playing. Post-game, he experienced painful shoulder motion and was unable to return to competition due to recurrent sharp posterior pain.<br /><br />The physical exam revealed limited shoulder flexion (160 degrees), external rotation (60 degrees), and internal rotation to L1. Load and shift testing suggested posterior instability, with only minimal sulcus sign observed. The relocation test increased symptoms, while apprehension was negative, and shoulder strength remained good.<br /><br />Though imaging details are briefly mentioned, they include MRI and post-operative imaging to assist in diagnosis and treatment planning. Arthroscopic diagnosis and treatment are emphasized, highlighting the surgical intervention for shoulder instability.<br /><br />Treatment discussions include various options and detailed post-operative care plans, such as the use of a sling, physical therapy, and structured training aimed at enabling healing and facilitating a safe return to sport. The timeline extends to six months post-surgery, incorporating follow-up imaging to evaluate healing progress.<br /><br />The document addresses critical considerations in determining the appropriate timing and safety of returning an athlete to sport after shoulder stabilization procedures. Overall, the summary underscores the importance of thorough clinical evaluation, imaging, arthroscopic intervention, and a comprehensive rehabilitation program to address shoulder instability effectively and optimize patient outcomes for athletes.

Asset Caption

Dr. Jeffery S. Abrams, M.D.

Keywords

shoulder instability

diagnosis

treatment

case study

posterior shoulder pain

physical examination

MRI imaging

arthroscopic surgery

post-operative care

return to sport