IC 102-2023: Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session-IC 102 - Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session (2/3)

IC 102 - Common Shoulder Problems in Overhead Athletes: Surgeon Beware- This Isn’t Always So Straight Forward An Interactive, Round Table, Case-Based, Problem Solving Session (2/3)

Back to course

Video Transcription

Video Summary

The video discussed a case of a 19-year-old college rugby player who experienced a shoulder injury while making a tackle. The player felt a burning pain in his arm and his shoulder felt wrong, although no dislocation occurred. Despite the discomfort, the player continued to play with the injury. X-rays initially appeared normal, but further examination with an MRI revealed a capsular lesion called a haggle. The haggle presented as a tear in the inferior capsule, with dye leaking outside the capsule near the subscapularis muscle. The video discussed the appropriate next steps for treatment, including whether to let the player continue to play with a brace or proceed with surgery. The pros and cons of arthroscopic and open surgery were also discussed. The video emphasized the importance of rehab and targeted exercises in the recovery process, as well as the role of MR arthrography in diagnosing haggle lesions. The speaker also highlighted the prevalence of shoulder injuries in rugby and the increasing adoption of rugby tackling techniques in the NFL. The video concluded with a discussion among the panelists about their opinions on the best course of action for the player's treatment.

Asset Caption

Felix Savoie, MD

Keywords

shoulder injury

rugby player

capsular lesion

haggle

MRI examination

surgery options

rehabilitation process