Posterior dislocation in a voluntary subluxator: A case report

Lara L. Devgan, Harpreet S. Gill, Christopher Faustin, Hyung Bin Park, Edward G McFarland

Research output: Contribution to journalArticle

Abstract

Purpose: Posterior instability of the shoulder is an uncommon occurrence. Its etiology has been classified as traumatic or atraumatic and its type as voluntary (individual can subluxate the shoulder posteriorly) or involuntary. Typically, patients with posterior voluntary instability do not have a history of trauma, can be treated successfully with physical therapy, and undergo surgery if the instability becomes symptomatic or develops an involuntary component. We present a patient with voluntary posterior subluxation who developed a symptomatic posterior instability after a traumatic event. Patient Presentation: This patient was unable to return to his preinjury function despite nonoperative interventions, including rehabilitation, and required operative treatment of his posterior labrum lesion. This patient had a rare combination of voluntary, atraumatic instability that coexisted with traumatic posterior shoulder instability. Conclusion: This case emphasizes the importance of recognizing this constellation of instability patterns and documents that traumatic posterior instability, even in the presence of preexisting voluntary posterior subluxations, may require operative intervention in young, active individuals.

Original languageEnglish (US)
Pages (from-to)613-617
Number of pages5
JournalMedicine and Science in Sports and Exercise
Volume38
Issue number4
DOIs
StatePublished - Apr 2006

Fingerprint

Rehabilitation
Wounds and Injuries
Therapeutics

Keywords

  • Bankart
  • Instability
  • Posterior
  • Shoulder
  • Voluntary
  • Wrestling

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Orthopedics and Sports Medicine

Cite this

Posterior dislocation in a voluntary subluxator : A case report. / Devgan, Lara L.; Gill, Harpreet S.; Faustin, Christopher; Park, Hyung Bin; McFarland, Edward G.

In: Medicine and Science in Sports and Exercise, Vol. 38, No. 4, 04.2006, p. 613-617.

Research output: Contribution to journalArticle

Devgan, Lara L. ; Gill, Harpreet S. ; Faustin, Christopher ; Park, Hyung Bin ; McFarland, Edward G. / Posterior dislocation in a voluntary subluxator : A case report. In: Medicine and Science in Sports and Exercise. 2006 ; Vol. 38, No. 4. pp. 613-617.
@article{3943034fe37b4d11813609fb0e286ea3,
title = "Posterior dislocation in a voluntary subluxator: A case report",
abstract = "Purpose: Posterior instability of the shoulder is an uncommon occurrence. Its etiology has been classified as traumatic or atraumatic and its type as voluntary (individual can subluxate the shoulder posteriorly) or involuntary. Typically, patients with posterior voluntary instability do not have a history of trauma, can be treated successfully with physical therapy, and undergo surgery if the instability becomes symptomatic or develops an involuntary component. We present a patient with voluntary posterior subluxation who developed a symptomatic posterior instability after a traumatic event. Patient Presentation: This patient was unable to return to his preinjury function despite nonoperative interventions, including rehabilitation, and required operative treatment of his posterior labrum lesion. This patient had a rare combination of voluntary, atraumatic instability that coexisted with traumatic posterior shoulder instability. Conclusion: This case emphasizes the importance of recognizing this constellation of instability patterns and documents that traumatic posterior instability, even in the presence of preexisting voluntary posterior subluxations, may require operative intervention in young, active individuals.",
keywords = "Bankart, Instability, Posterior, Shoulder, Voluntary, Wrestling",
author = "Devgan, {Lara L.} and Gill, {Harpreet S.} and Christopher Faustin and Park, {Hyung Bin} and McFarland, {Edward G}",
year = "2006",
month = "4",
doi = "10.1249/01.mss.0000210210.40694.df",
language = "English (US)",
volume = "38",
pages = "613--617",
journal = "Medicine and Science in Sports and Exercise",
issn = "0195-9131",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Posterior dislocation in a voluntary subluxator

T2 - A case report

AU - Devgan, Lara L.

AU - Gill, Harpreet S.

AU - Faustin, Christopher

AU - Park, Hyung Bin

AU - McFarland, Edward G

PY - 2006/4

Y1 - 2006/4

N2 - Purpose: Posterior instability of the shoulder is an uncommon occurrence. Its etiology has been classified as traumatic or atraumatic and its type as voluntary (individual can subluxate the shoulder posteriorly) or involuntary. Typically, patients with posterior voluntary instability do not have a history of trauma, can be treated successfully with physical therapy, and undergo surgery if the instability becomes symptomatic or develops an involuntary component. We present a patient with voluntary posterior subluxation who developed a symptomatic posterior instability after a traumatic event. Patient Presentation: This patient was unable to return to his preinjury function despite nonoperative interventions, including rehabilitation, and required operative treatment of his posterior labrum lesion. This patient had a rare combination of voluntary, atraumatic instability that coexisted with traumatic posterior shoulder instability. Conclusion: This case emphasizes the importance of recognizing this constellation of instability patterns and documents that traumatic posterior instability, even in the presence of preexisting voluntary posterior subluxations, may require operative intervention in young, active individuals.

AB - Purpose: Posterior instability of the shoulder is an uncommon occurrence. Its etiology has been classified as traumatic or atraumatic and its type as voluntary (individual can subluxate the shoulder posteriorly) or involuntary. Typically, patients with posterior voluntary instability do not have a history of trauma, can be treated successfully with physical therapy, and undergo surgery if the instability becomes symptomatic or develops an involuntary component. We present a patient with voluntary posterior subluxation who developed a symptomatic posterior instability after a traumatic event. Patient Presentation: This patient was unable to return to his preinjury function despite nonoperative interventions, including rehabilitation, and required operative treatment of his posterior labrum lesion. This patient had a rare combination of voluntary, atraumatic instability that coexisted with traumatic posterior shoulder instability. Conclusion: This case emphasizes the importance of recognizing this constellation of instability patterns and documents that traumatic posterior instability, even in the presence of preexisting voluntary posterior subluxations, may require operative intervention in young, active individuals.

KW - Bankart

KW - Instability

KW - Posterior

KW - Shoulder

KW - Voluntary

KW - Wrestling

UR - http://www.scopus.com/inward/record.url?scp=33646008855&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646008855&partnerID=8YFLogxK

U2 - 10.1249/01.mss.0000210210.40694.df

DO - 10.1249/01.mss.0000210210.40694.df

M3 - Article

C2 - 16679973

AN - SCOPUS:33646008855

VL - 38

SP - 613

EP - 617

JO - Medicine and Science in Sports and Exercise

JF - Medicine and Science in Sports and Exercise

SN - 0195-9131

IS - 4

ER -