Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with recurrent right shoulder instability. Reports episodes of subluxation/dislocation occurring during overhead activities. Describes a sensation of the shoulder "giving way" or slipping out of joint. Associated with localized pain, apprehension, and occasional paresthesia. No history of neurovascular compromise.
Clinical Examination Findings
Right shoulder inspection reveals no gross deformity or atrophy. Palpation demonstrates tenderness over the anterior capsule. Range of motion is full but guarded. Positive apprehension test, relocation test, and sulcus sign. Load and shift test reveals grade 2 anterior/posterior laxity. Neurovascular status intact distally.
Treatment Protocol
Initiate physical therapy focusing on rotator cuff strengthening and scapular stabilization. Activity modification to avoid provocative overhead positions. Consider NSAIDs for pain management. If conservative measures fail, discuss surgical options including arthroscopic Bankart repair or capsular shift.