S43.006 Unspecified dislocation of unspecified shoulder joint
M25.311 Other instability, right shoulder
PREFERRED PRACTICE PATTERN
4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction2
A 19-year-old patient is being seen in the clinic with a chief complaint of right anterior shoulder pain that began after a shoulder dislocation 1 week ago. He states that he injured the shoulder while sustaining a direct blow to the arm playing semipro football and that the dislocation did require relocation in the emergency room. Patient has been wearing a sling since the injury and was given a shoulder stabilizer brace to wear during football. The patient is taking Naproxen and has no pain at rest at this time. He does have 4–5/10 pain when he wakes in the morning and when he has to reach overhead. He denies numbness and tingling and has no other complaints at this time. The patient is currently not practicing and is keeping the arm in the sling. He is left handed and would like to be able to return to his team this season where he plays quarterback.
Excessive and symptomatic translation of the humeral head in one or more directions
Instability may be associated with dislocation or subluxation associated with trauma
Glenohumeral instability may be secondary to atraumatic factors associated with structural, postural, or movement dysfunction or from recurrent minor injury to the structures of the glenohumeral joint3,4
Symptomatology and management vary based on onset, degree, frequency, direction, associated pathology, neuromuscular control, and premorbid activity level4
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