Abstract

Background and Purpose: Anterior dislocation is one of the more common injuries affecting the shoulder. There are relatively high rates of developing recurrent anterior instability, particularly among young males. A complication associated with this condition is glenoid bone loss. The Latarjet procedure is an effective method of restoring glenoid bone loss and reinstating the integrity of the glenohumeral joint. This is a relatively rare procedure that some clinicians may be unfamiliar with. The purpose of this paper was to determine the best course of rehabilitation for a patient with recurrent anterior instability following Latarjet procedure Case Description: The patient was a 26 year old male who was referred to physical therapy status-post right shoulder stabilization procedure secondary to recurrent anterior shoulder instability/dislocation. The patient underwent a coracoid transfer (Latarjet procedure) and biceps tenodesis. The patient presented to physical therapy (PT) with right shoulder stiffness, decreased range of motion (ROM), and decreased strength. The patients goals for therapy were to return to work as a low-voltage electrician and to snowboard. Outcome: The patient was followed over six weeks of therapy up to his nine-week post-operative date. The patient was making good progress in terms of range of motion at this point. He was able to achieve 115o of active forward flexion, 35o of internal rotation and 20o of external rotation with the arm abducted to 90o degrees. He demonstrated improved ability to perform activities of daily living. He could use his right arm to eat, drive, and had no problems getting dressed. He planned to continue with PT with the goals of further increasing shoulder ROM and strength, and strengthening the scapular stabilizers. Discussion: There is very limited evidence for the rehabilitative management of patients after Latarjet procedure. Due to the lack of evidence supporting any one specific course of rehabilitation, the clinician must utilize the available evidence and their clinical reasoning to make the best decision possible. An understanding of the surgical procedure and the healing process is important and each patient must be treated based on the specific impairments they present with. Further research is needed to assess the best course of rehabilitation after Latarjet procedure'

Provenance

Submitted by Jacob Louis Nash (jlnash@salud.unm.edu) on 2016-06-07T18:00:09Z No. of bitstreams: 1 CAPSTONE.pdf: 1127874 bytes, checksum: fb8ad881d1a44faeb232ca5feb3e65c3 (MD5), Made available in DSpace on 2016-06-07T18:00:09Z (GMT). No. of bitstreams: 1 CAPSTONE.pdf: 1127874 bytes, checksum: fb8ad881d1a44faeb232ca5feb3e65c3 (MD5) Previous issue date: 2016

Document Type

Capstone

Keywords

Latarjet Procedure, Shoulder Injury, Rehabilitative Management

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