Location
LSU Health Sciences Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Introduction: Shoulder instability, particularly traumatic posterior shoulder instability, presents challenges in diagnosis and treatment, especially in athletic populations such as football players. Conservative management strategies are crucial for optimizing outcomes in these cases.
Purpose: This case report aims to describe the conservative treatment plan for a 16-year-old high school football player following a traumatic posterior shoulder subluxation.
Case Description: The patient, a 16-year-old male football player, experienced a traumatic shoulder injury during practice, leading to pain with glenohumeral elevation AROM, strength deficits, and functional limitations impairing the patient's ability to participate in sport. Through a comprehensive evaluation, a diagnosis of posterior glenohumeral instability was established, and a tailored treatment plan was implemented over a 5-week period working towards a return to sport.
Outcomes: During the 5-week treatment, the patient's initial active range of motion improved from pain at shoulder elevation beyond 90 degrees to pain-free full ROM. Shoulder strength showed improvement, with a 7.9% increase in internal rotation, an 8.4% increase in external rotation, and a 12.1% increase in scaption. The patient's Q-Dash scores decreased, from 25% to 11.4% base score and from 68.8% to 25% sports/performing arts module. Functionally, the patient progressed from experiencing symptoms during a high plank position to performing consecutive push-ups in the same position without symptom reproduction.
Discussion: The findings of this case report demonstrate the importance of individualized rehabilitation protocols, including neuromuscular re-education and gradual functional progression, in addressing posterior shoulder instability in young athletes. Further research is needed to explore long-term outcomes and refine treatment approaches
Recommended Citation
Windsor, Dawson, "Conservative Treatment of a 16-year-old Football Player Following a Traumatic Shoulder Injury: A Case Report" (2024). School of Allied Health Professions Research Day. 38.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/38
Included in
Conservative Treatment of a 16-year-old Football Player Following a Traumatic Shoulder Injury: A Case Report
LSU Health Sciences Center - New Orleans
Introduction: Shoulder instability, particularly traumatic posterior shoulder instability, presents challenges in diagnosis and treatment, especially in athletic populations such as football players. Conservative management strategies are crucial for optimizing outcomes in these cases.
Purpose: This case report aims to describe the conservative treatment plan for a 16-year-old high school football player following a traumatic posterior shoulder subluxation.
Case Description: The patient, a 16-year-old male football player, experienced a traumatic shoulder injury during practice, leading to pain with glenohumeral elevation AROM, strength deficits, and functional limitations impairing the patient's ability to participate in sport. Through a comprehensive evaluation, a diagnosis of posterior glenohumeral instability was established, and a tailored treatment plan was implemented over a 5-week period working towards a return to sport.
Outcomes: During the 5-week treatment, the patient's initial active range of motion improved from pain at shoulder elevation beyond 90 degrees to pain-free full ROM. Shoulder strength showed improvement, with a 7.9% increase in internal rotation, an 8.4% increase in external rotation, and a 12.1% increase in scaption. The patient's Q-Dash scores decreased, from 25% to 11.4% base score and from 68.8% to 25% sports/performing arts module. Functionally, the patient progressed from experiencing symptoms during a high plank position to performing consecutive push-ups in the same position without symptom reproduction.
Discussion: The findings of this case report demonstrate the importance of individualized rehabilitation protocols, including neuromuscular re-education and gradual functional progression, in addressing posterior shoulder instability in young athletes. Further research is needed to explore long-term outcomes and refine treatment approaches
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/38