Ix: Xray – post-traumatic, post-reduction – will not reveal soft bankart lesion, CT, MRI
US – may reveal labral cyst which may be evidence of a labral tear.
Figure 1 – Bony Bankart – Left shoulder
Acute: Immobilization – conflicting data re: External Immobilization in 20 degrees, may benefit patients within 24-48hrs. Arrange for further imaging CT/MRI.
Post immobilization – rehabilitation, progressive range of motion exercises, rotator cuff strengthening, scapular stabilization exercises
Refer to Orthopedics for surgical repair if recurrent instability.
Dr. Neil Dilworth CCFP Dip Sport Med
Peer Reviewed (K.A.)