Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of recurrent anterior instability of the left shoulder. Reports multiple episodes of subluxation/dislocation following initial traumatic event. Currently complains of apprehension, pain, and a sense of "giving way" during overhead activities or external rotation. No history of neurovascular compromise.
Clinical Examination Findings
Left shoulder examination reveals positive apprehension sign and relocation test. Sulcus sign negative. Generalized ligamentous laxity noted. Range of motion is full but guarded due to apprehension. Neurovascular status intact distally (radial/ulnar pulses 2+, sensation intact to light touch in axillary nerve distribution).
Treatment Protocol
Initiate physical therapy focusing on rotator cuff strengthening and scapular stabilization. Activity modification to avoid provocative overhead positions. Consider MRI arthrogram to evaluate for Bankart lesion or bony defects. Discuss surgical options (arthroscopic Bankart repair vs. Latarjet procedure) if conservative management fails.