Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of recurrent shoulder instability, reporting multiple episodes of subluxation or frank dislocation. Symptoms include apprehension with overhead activities, a sensation of the shoulder "giving way," and persistent dull ache. Mechanism of injury often involves abduction and external rotation. No history of neurovascular compromise reported.
Clinical Examination Findings
Physical examination reveals positive apprehension and relocation signs. Sulcus sign is [positive/negative], indicating inferior laxity. Load and shift test demonstrates [Grade I/II/III] translation. Range of motion is full but guarded. Neurovascular status is intact distally. Rotator cuff strength is 5/5.
Treatment Protocol
Initial management includes physical therapy focusing on rotator cuff and periscapular strengthening. Activity modification to avoid provocative positions. NSAIDs for pain management. If conservative measures fail, surgical consultation for arthroscopic stabilization (Bankart repair or capsular shift) is indicated.