AOSSM Youth to the NFL Sports Medicine Course no CME-In-Season Management Shoulder Instability

Video Transcription

Video Summary

The video transcript discusses shoulder instability in football players and the options for managing the condition. It mentions that football players are more likely to experience shoulder instability compared to other collegiate activities, except for wrestling. Data from the Patriots and Tom Gill show that a significant percentage of players have had shoulder instability and some have undergone shoulder stabilization surgery. A study by Anderson found that shoulder instability accounted for 20% of all shoulder and elbow injuries in football. The majority of instability episodes were subluxations, with 30% being dislocations, mostly anterior. The recommended approach for non-primary dislocators is non-surgical management through rehabilitation and stabilization with a brace. Surgical treatment is recommended in cases involving bony fractures or large Hill-Sachs lesions, a capsular injury, loose bodies, or prior failed surgery. The decision to opt for surgery is influenced by factors such as the player's position, time of the season, team's record, and contract status. Non-operative treatment has a high recurrence rate of around 60%. Case examples are provided to illustrate different surgical interventions and their outcomes. The importance of considering medical and situational factors for surgery is highlighted, as well as the potential benefits of supplementary procedures like remplissage and coracoid transfers in collision athletes. In summary, non-operative treatment is generally recommended, surgical intervention is considered based on various factors, and supplementary procedures may be necessary in some cases.

Asset Caption

Presented by Michael B. Banffy MD

Keywords

shoulder instability

football players

managing

surgical treatment

non-operative treatment