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Show 32 Krystine Edwards college of health A 17 year old male football player came out of a game complaining of shoulder pain and numbness after hearing a pop in his right shoulder. Pain was reported along the lateral head of the humerus and around the deltoid tuberosity on his right arm. There was no history of previous injury to this shoulder. He pre-sented with weakness in C5 through T1, numbness in the lateral deltoid, and pain with horizontal adduc-tion and external rotation. His internal rotation on his right shoulder was limited to his right back pocket. At this time he was diagnosed with a muscle strain and a stinger. With no relief of symptoms following conservative treatment the athlete was referred to a physician. The physician suspected the athlete had a rotator cuff tear and sent him for an MRI. A second physician interpreted the results of the athlete's MRI and diagnosed him with a reverse bankart lesion and a reverse hill-sachs fracture. This physician suggested the athlete have surgery to repair the lesion, but the athlete chose to finish playing through the football season before having the surgery. To help with the pain and inflammation the physician gave him a corticosteroid injection. After the season the athlete underwent surgery, this procedure included a right shoulder posterior bankart repair in the lateral decubitus position. After surgery the athlete was placed in a sling for approximately four weeks. After four weeks the athlete started a rehabilitation program to strengthen his shoulder. He focused on regaining range of motion, full strength, and sport specific skills. He was able to return to play 4 months post surgery. Posterior subluxations account for only 2-5% of all shoulder instabilities and usually occur when someone is struck by lightning or undergoes a severe seizure. In this case report the athlete posteriorly subluxed his right shoulder causing a reverse bankart lesion and a reverse hill-sachs fracture. Shoulder injuries are common in the athletic environment and as with any injury; a prompt and accurate evaluation can be very helpful in beginning the correct rehabilitation immediately so as to allow the athlete to return to play sooner. The diagnosis of a posterior subluxation may be easily overlooked, along with any resulting lesions, because the athlete often time presents infrequently and with a confusing spectrum of clinical symptoms. REVERSE BANKART LESION AND REVERSE HILL-SACHS FRACTURE IN A HIGH SCHOOL FOOTBALL PLAYER: A CASE REPORT Krystine Edwards (Charlie Hicks-Little, Craig Switzler) Department of Exercise and Sport Science, Athletic Training Program University of Utah UNDERGRADUATE RESEARCH ABSTRACTS Charlie Hicks-Little Craig Switzler |