Shoulder Pathology
A 24-year-old rugby player presents with recurrent anterior shoulder dislocations. He has had 5 dislocations in 2 years despite completing a rehabilitation program. Examination shows positive apprehension and relocation tests. CT scan shows 22% glenoid bone loss and an engaging Hill-Sachs lesion on dynamic examination. The Instability Severity Index Score (ISIS) is 7. Regarding recurrent shoulder instability:
Mark each as TRUE or FALSE
The Bankart lesion (anteroinferior labral tear) is the "essential lesion" of traumatic anterior inst...
Hill-Sachs lesion is a posterolateral humeral head compression fracture occurring in 80-100% of disl...
Posterior shoulder instability is more common than anterior; glenoid bone loss greater than 25% does...
Risk factors for recurrence include young age at first dislocation (less than 20 years highest risk)...
Treatment options: arthroscopic Bankart repair for soft tissue lesions without significant bone loss...
Answer the questions to see explanations
Click T (True) or F (False) for each option