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Inferior Shoulder Dislocation with Anterior Bankart Tear in Multi-Sport Adolescent Athlete Powell AM*: *Georgia College & State University

Background: During football practice, a 16-year-old male multi-sport athlete hit another player with his right shoulder and immediately felt discomfort and stated that it felt like it was “out.” The involved athlete was hit in the top of his shoulder when the injury occurred. The AT observed an obvious dislocation of the right glenohumeral joint in an inferior direction. A reduction of the joint was performed, and neurovascular vitals were within normal limits. The athlete was provided a sling and referred to physician for imaging. Dx: Inferior shoulder dislocation. Treatment: The athlete underwent MRI and was diagnosed with an Anterior Bankart Tear. Since there were only a few weeks left in the season, the athlete was treated conservatively by the AT, missing the next two games before returning to play with the support of a shoulder brace to prevent excessive motion that may lead to dislocation. Conservative treatment consisted of shoulder isometrics, use of body blade at 0 degrees shoulder abduction and 90 degrees elbow flexion, lat pulls with standing end range Y, T, A. Following the Anterior Bankart repair protocol, wrist/elbow AROM, grip strengthening, PROM stretching by the AT following precautions, and submaximal isometrics were authorized. This athlete also plays baseball; however, he will not be participating in baseball this season due to the surgical operation. Uniqueness: When it comes to pathologies of the glenoid labrum, SLAP Lesions are usually more common than an Anterior Bankart tear. Some predisposing factors could be weakness of muscles of the posterior aspect of the shoulder joint. Conclusions: This case highlights the importance being readily available to the athletes and educating the athletes of the importance of strengthening the muscles surrounding the shoulder, helping prevent an injury like this.



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