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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Sports Medicine
intermediate
X-Type

Posterior Shoulder Instability

Shoulder Instability

A 26-year-old offensive lineman presents with recurrent posterior shoulder subluxation episodes during blocking. He describes his arm "slipping out the back" when pushing with his arm in forward flexion and internal rotation. Examination reveals increased posterior translation with the jerk test and a positive Kim test. MRI shows a posterior labral tear with a reverse Hill-Sachs lesion involving 15% of the humeral head. Regarding posterior shoulder instability:

Mark each as TRUE or FALSE

A

Posterior instability represents 2-10% of shoulder instability cases; it exists on a spectrum from u...

B

REVERSE BANKART LESION refers to posterior labral detachment from the glenoid (analogous to anterior...

C

Posterior instability is more common than anterior instability; the anterior capsule is the primary ...

D

Clinical examination includes: JERK TEST (arm in forward flexion and internal rotation, axial load a...

E

Non-operative treatment is first-line for atraumatic posterior instability and includes: scapular st...

Answer the questions to see explanations

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