Bankart Repair in an anteriorly unstable shoulder: A case study

Table of Contents

Bankart Repair in an anteriorly unstable shoulder: A case study

Introduction

The Case Study

The Shoulder

Characteristics

Functional Anatomy

Bony Anatomy

Sternoclavicular Joint

Acromioclavicular Joint

Coracoclavicular Joint

Glenohumeral Joint

PPT Slide

GH Joint

Instability (defined)

Static Stabilizers

Articular Cartilage

Glenoid Labrum

PPT Slide

Ligamentous Restraints

Glenohumeral Ligaments

Superior and Middle Portions

Inferior Portion

Joint Capsule

Dynamic Stabilizers

Rotator Cuff Musculature (SITS)

Rotator Cuff

Rotator Cuff

Supraspinatus

Infraspinatus

Teres Minor

Subscapularis

Biceps Brachii

GH Stabilization

PPT Slide

Scapulothoracic Joint

Scapulothoracic Rhythm

PPT Slide

Scapular Stabilization

Instability

Mechanism of Injury

Bankart Lesion

Bankart Lesion

Hill Sachs Lesion

Examination

Subjective

Objective

Special Tests

Plan

Immediate Care

Non-operative treatment

Surgical Options

Open vs. Arthroscopic Repair

Open vs. Arthroscopic Repair

Open Bankart Repair

Introduction to Case Study

Patient Characteristics

Patient Complaints

Mechanism of Injury

Orthopedic Evaluation

Evaluation (continued)

Patient Goals

Surgical procedures

Rehabilitation

Initial Goals

Long Term Goals

1 week Post-op

Phase I (Weeks 2 - 4)

4 Weeks Post-op

Phase II

6 Weeks Post-op

Goals:

Phase III (Weeks 7 – 12)

What now?

Phase IV- Dynamic Strengthening

Phase V- Throwing Phase

Factors Influencing Patients Rehabilitation

Psychological Factors

Conclusions

Email: ray@hope.edu

Home Page: www.hope.edu/academic/kinesiology/athtrain

Other information:
This project was completed as part of the graduation requirements for the Hope College Athletic Training Program.