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Hand & Upper Limb
intermediate
X-Type

Anterior Shoulder Instability

Shoulder Disorders

A 19-year-old male rugby player presents after his third episode of anterior shoulder dislocation. The first episode occurred 2 years ago during a tackle. Each episode required reduction in the emergency department. Examination shows positive apprehension and relocation tests. MRI arthrogram shows a Bankart lesion and Hill-Sachs lesion involving 20% of the humeral head. Regarding anterior shoulder instability:

Mark each as TRUE or FALSE

A

Anterior dislocation is the most common direction (95%); mechanism is typically abduction, external ...

B

The apprehension test (arm in 90 degrees abduction and external rotation causes anxiety) is most spe...

C

Posterior dislocation is most common; internal rotation causes anterior dislocation; recurrence risk...

D

Surgical options for soft tissue lesions include arthroscopic Bankart repair (reattach labrum to gle...

E

The Latarjet procedure provides triple stabilization: bone block effect, sling effect of conjoint te...

Answer the questions to see explanations

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