Case Presentation 19 yo, Soph Linebacker, Starter Clavicle fx, Left - PDF document

4/12/2016 Case Presentation • 19 yo, Soph Linebacker, Starter • Clavicle fx, Left in fall camp 2014, required ORIF Case Presentation • Missed 3 games • Returned for remaining 10 games • Multiple subluxations Right Shoulder during JP Bramhall, MD season. Director of Sports Medicine, Team – Positive hx of instability in high school Physician, Orthopedic Surgeon Texas A&M Dept of Athletics – harnessed Case Presentation Case Presentation • Left Shoulder Subluxation November • Xrays: Normal bilaterally • Reports NO previous Left shoulder sxs in high • MRI: Right school – Circumferential labral tear with biceps labral complex involvement • Right hand dominant • MRI: Left • Baseball Prospect in hs – Anterior Inferior Posterior Labral Tears • Harnessed through bowl game – Questionable SLAP Case Presentation Case Presentation • Post season decision making…… ? • Pt. elected to proceed with Right Shoulder labral repair and stabilization. • Performed 12/31/14 ( day after Bowl game ) • Which Shoulder to repair first ? – When ? – Is there time to repair both shoulders in offseason? 1

4/12/2016 Case Presentation Case Presentation • What to do with the biceps ???? Case Presentation Case Presentation • Biceps Tenodesis • When to perform Left Shoulder Stabilization and Labral Repair ?? • Total 11 Anchors Case Presentation Case Presentation • Patient had excellent progress at 6 weeks • Left Shoulder Surgery Feb. 2015 post-op…. • Discussion with family and patient…. – He did not want to experience another season of shoulder instability – Possibility / probability of redshirt in 2015 2

4/12/2016 Case Presentation Case Presentation • SLAP Repair • Ant Inf Bankart Repair • Posterior Labral Repair • 10 anchors Case Presentation Case Presentation • Off season planning and Return to Activity ? • Off season planning and Return to Activity ? • Rehab time ? • Rehab time ? 3 mos • Running ? • Running ? 2 mos • Strength and Conditioning ? Weight Room? • Strength and Conditioning ? Weight Room? 3 mos Case Presentation Case Presentation • Return to Play ??? • Return to Play ??? • Contact ??? • Contact ??? • 6 months 3

4/12/2016 Bilateral shoulder stabilizations 4