Physical therapy outcomes of shoulder anterior capsulorrhaphy and bony Bankart repair with a history of recurrent instability: A retrospective case report

Author/ Authors/ Presenter/ Presenters/ Panelists:

Khattab Iwainat, Governors State UniversityFollow

Start Date

4-12-2019 4:00 PM

End Date

4-12-2019 6:00 PM

Abstract

Background and Purpose: The purpose of this retrospective case report is to describe functional outcomes for pain, range of motion (ROM), strength, motor control, and functional mobility of a 39-year-old Caucasian male patient following a left shoulder arthroscopy with anterior capsulorrhaphy and a bony Bankart repair after 10 weeks of physical therapy.

Case Description: The patient was a 39-year-old Caucasian male referred to physical therapy status post left shoulder surgery due to recurrent anterior instability and a Bankart lesion of the left shoulder following a skiing accident. The patient was treated in outpatient physical therapy setting for left shoulder pain, decreased range of motion (ROM), decreased strength, poor posture.

Outcomes: By the end of the 20 visits, the patient only met one out of four long-term goals relating to pain management and partially met the remaining three goals regarding improving functional mobility, ROM, and strength.

Discussion: It’s important that the patients’ expectations of their postoperative level of activity are considered and managed properly prior to initiating a postoperative rehabilitation program. Further research examining postoperative outcomes for ROM following shoulder capsulorrhaphy and a bony Bankart repair is needed to establish physical therapy goals in a realistic and attainable timeframe.

Faculty / Staff Sponsor

Dr. Roberta OShea

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Apr 12th, 4:00 PM Apr 12th, 6:00 PM

Physical therapy outcomes of shoulder anterior capsulorrhaphy and bony Bankart repair with a history of recurrent instability: A retrospective case report

Background and Purpose: The purpose of this retrospective case report is to describe functional outcomes for pain, range of motion (ROM), strength, motor control, and functional mobility of a 39-year-old Caucasian male patient following a left shoulder arthroscopy with anterior capsulorrhaphy and a bony Bankart repair after 10 weeks of physical therapy.

Case Description: The patient was a 39-year-old Caucasian male referred to physical therapy status post left shoulder surgery due to recurrent anterior instability and a Bankart lesion of the left shoulder following a skiing accident. The patient was treated in outpatient physical therapy setting for left shoulder pain, decreased range of motion (ROM), decreased strength, poor posture.

Outcomes: By the end of the 20 visits, the patient only met one out of four long-term goals relating to pain management and partially met the remaining three goals regarding improving functional mobility, ROM, and strength.

Discussion: It’s important that the patients’ expectations of their postoperative level of activity are considered and managed properly prior to initiating a postoperative rehabilitation program. Further research examining postoperative outcomes for ROM following shoulder capsulorrhaphy and a bony Bankart repair is needed to establish physical therapy goals in a realistic and attainable timeframe.