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