Tackling Trauma: Recurrent Shoulder Injuries In A Football Athlete - Page #1
 

Author: Justin Chu, MD
Co Author #1: Kieran Richards
Co Author #2: Neel Patel
Senior Editor: Drew Duerson, MD
Editor: Rahul Kapur, MD

Patient Presentation:
17-year-old male footballer player presented with chronic left shoulder pain and instability.

History:
A 17-year-old male football player presented to the sports medicine urgent care clinic with chronic left shoulder pain. The athlete said he first injured the shoulder 6 months prior while blocking a player when he felt a popping sensation. He shook his arm out and felt better, so he continued playing the rest of the game. About five months later, he felt another painful sensation while reaching out with his shoulder to grab a ball during gym class. Most recently, he reinjured himself playing catch and fell on his shoulder. He noted global shoulder pain as well as pain deep within his shoulder. He felt as if his shoulder was unstable and going to pop out. He denies any numbness or tingling in his arms or hands. He took diclofenac for pain with some relief. The patient was anxious to return to sport in the hopes of playing collegiate football.

Physical Exam:
Ht 5ft 9.5in (1.765 m); Wt 182 lb (82.6 kg); BMI 26.49; BSA 2.01 Normal head, eye, neurologic, peripheral pulse, and skin findings.
-Left shoulder grade 2 laxity with Load and Shift test, but without pain.
-This is equal to the right shoulder grade 2 laxity also without pain.
-The left shoulder is negative for apprehension/relocation.
-Full range of motion.
-No winging or scapular dyskinesis.
-Positive Hawkins, Impingement, O'Brien's
-Crank test notable for discomfort, but no catching.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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