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Report on Massive Rotatot Cuff Injury in Youth Athlete - Case Study Example

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Case Study Report on Rotator Cuff Injury Introduction Injuries pertaining to rotator cuff are the most common cause of shoulder pain in individuals of any age group (Malanga, 2012). The injury can range from reversible acute tendinitis to massive tears involving the subscapularis, supraspinatus and infraspinatus…
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Case Study Report on Massive Rotatot Cuff Injury in Youth Athlete
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Download file to see previous pages In this case study report, rotator cuff injury in a young athlete will be discussed. The report is based on a case study that was published earlier. Case Report 16 year old male fell on the left shoulder and sustained injury while attempting to score a touchdown while playing baseball. As the patient dove towards the end-zone, the left upper extremity got outstretched. After landing, another player tackled him from behind and caused contact injury to posterior aspect of left shoulder. The young athlete sustained severe pain of the left shoulder immediately and stopped playing. He could not elevate the left limb. X-ray of the left shoulder done on the next day was suggestive of subluxation of humerus with no obvious fracture. Four days following the injury, the patient had a guarded posture with diffuse tenderness all over the shoulder. Active range of movement was restricted and passive range of movement was unrestricted at the left shoulder joint. Rotator cuff strength was 2/5 with limited instability evaluation. MRI done was suggestive of posterior subluxation of the head of the humerus with accumulation of hemorrhage and edema in the glenohumeral joint. There were also full thickness tears of the tendons of the infraspinatus and supraspinatus from their insertion points and also full thickness tear of the subscapularis. ...
There was distinct instability of the biceps tendon along with extensive injury of the rotator cuff. The glenoid labrum was found to be intact and there was no posterior labral disruption. The surgeon debrided the edges of the tendon and hemorrhage was removed. The biceps was subsequently released. Following arthroscopy, open surgery was performed. A combination of anterior and posterior approach was undertaken to gain complete access to the injury. Repair of upper teres minor tendons and infraspinatus was accomplished. Thereafter, scapularis tendon repair was performed. All the wounds were irrigated thoroughly and then closed. He was sent home on an external rotation sling with arm in neutral position. 2 weeks after the surgery, sutures were removed and the patient was put on external sling with arm in neutral position. The range of movements and strength improved. Forward flexion and abduction, internal rotation and external rotation were comparable to contralateral side. The rotator cuff was intact throughout strength testing. Elbow range of movements was initiated along with pendulum exercises. The patient was reviewed after 4 weeks of surgery. Radiographs revealed concentric reduction of the glenohumeral joint. At this juncture, physical therapy was initiated to improve passive range of movements. At 8 weeks, the patient sustained another injury due to motor vehicle accident. He had injury to the shoulder joint. Repeat MRI was not suggestive of any injury to rotator cuff, instead showed concentric reduction in glenohumeral joint. There was no instability. 5 months following surgery, range of movements was comparable to contralateral side and the motor cuff was intact throughout strength testing. The patient ...Download file to see next pagesRead More
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