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Sports Medicine
intermediate
X-Type

Anterior Shoulder Instability

Shoulder Disorders

A 22-year-old rugby player presents after his third anterior shoulder dislocation. The first occurred 2 years ago during a tackle. Each subsequent dislocation has occurred with less force. He now avoids certain arm positions and feels his shoulder is "loose." Examination reveals positive apprehension and relocation tests. MRI arthrogram shows an anteroinferior labral tear and a posterolateral humeral head impression fracture. Regarding anterior shoulder instability:

Mark each as TRUE or FALSE

A

Anterior shoulder instability accounts for 95% of glenohumeral dislocations; it most commonly occurs...

B

Recurrence risk is highest in young patients (90% in those younger than 20 years at first dislocatio...

C

Posterior dislocations are more common than anterior; recurrence risk is lowest in young athletes; t...

D

Clinical examination includes the apprehension test (positive = fear of dislocation with arm in abdu...

E

Treatment for recurrent instability in young athletes is typically surgical; arthroscopic Bankart re...

Answer the questions to see explanations

Click T (True) or F (False) for each option