• Arthroscopy · Sep 2011

    Case Reports

    Posterior capsular rupture causing posterior shoulder instability: a case report.

    • Anup A Shah, ButlerR BryanRB, Rachel Fowler, and Laurence D Higgins.
    • Atlanta Sports Medicine, Atlanta, Georgia, USA.
    • Arthroscopy. 2011 Sep 1; 27 (9): 1304-7.

    AbstractWe report the case of a 20-year-old male competitive football player who was treated for a midsubstance posterior capsule rupture after a posterior dislocation from falling onto his shoulder. Conservative management for 5 months after the injury failed to improve his subjective symptoms, with the primary symptom being activity-related posterior shoulder pain. Advanced imaging findings and physical examination were consistent with posterior instability, thought to be due to a posterior labral tear. At the time of a diagnostic arthroscopy, the patient was found to have an oval-shaped rupture of the capsule that was neither a reverse humeral avulsion of the glenohumeral ligament lesion nor a posterior labral tear. The capsular tear was repaired through an all-arthroscopic technique with nonabsorbable sutures. The patient returned to his previous competitive function, had no pain, and had full motion at final follow-up without recurrence of instability or pain symptoms.Copyright © 2011 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

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