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GH Dislocation (Open Bankart Lesion Repair) in a Wrestler

GH Dislocation (Open Bankart Lesion Repair) in a Wrestler. By Jeff Schreibman Christine Davis. Athlete’s Hx. 21-year-old male wrestler (+) Rotatory stress test MRI findings Anterior GH dislocation w/ Type IV Bankart lesion (labral detachment w/ significant fraying or degeneration)

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GH Dislocation (Open Bankart Lesion Repair) in a Wrestler

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  1. GH Dislocation (Open Bankart Lesion Repair) in a Wrestler By Jeff Schreibman Christine Davis

  2. Athlete’s Hx • 21-year-old male wrestler • (+) Rotatory stress test • MRI findings • Anterior GH dislocation w/ Type IV Bankart lesion (labral detachment w/ significant fraying or degeneration) • Open Bankart Lesion Repair • Abduction and Ext. Rotation • S & S • Step off deformity, numbness, tingling, pain, inability to move arm, bruising, swelling

  3. Bankart Lesion • Avulsion of the anteroinferior labrum w/ concurrent stretching of the anteroinferior capsule • It can pre-dispose pt. to recurrent anterior dislocations.

  4. Rehabilitation Wk 1-2 • Arm is immobilized in sling for 3 weeks • Avg. rehab program 15-26 wks • Arm can be taken out after 1st week • ARROM, Straight-plane flexion • PROM w/ elbow at side • Most stressful position = Ext. Rotation w/ abduction • Wk 1-2, Grade I and II joint mobes • Mild distraction w/ oscillation

  5. Rehab Wk 3-5 • Sling is removed • Joint Mobes- Grade III can begin • (Scapular Plane) – Active Resistive Isotonic Ex. • Int./Ext. Rotation- 20-30 degrees w/ elbow at side • Abduction- 20 degrees • Trigger Points may develop from being in a sling • Treatment of trigger points may relieve discomfort

  6. Rehab Wk 6-12 • Wk 6- PROM • Shoulder Flex: WNL • Ext. Rotation: 50-60 w/ elbow at side • Wk 6, joint mobes can be any grade • Wk 6-10 RC exercises can increase ROM w/ low weight & high reps • Wk 8-10: Full PROM present except Ext. rotation which should be 75 degrees • Wk 10-12: Full PROM

  7. Surgical Techniques • Open Bankart Lesion Repair

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