Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of recurrent anterior instability of the right 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
Right shoulder examination reveals positive Apprehension and Relocation tests. Sulcus sign is negative. Grade 2+ laxity on anterior drawer test. Rotator cuff strength 5/5. Neurovascular status intact distally. No signs of acute deformity or skin compromise.
Treatment Protocol
Initial management includes physical therapy focusing on rotator cuff and periscapular strengthening. Activity modification to avoid provocative overhead positions. If conservative measures fail, surgical consultation for arthroscopic Bankart repair or Latarjet procedure is indicated.