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Traumatic anterior shoulder dislocation: a case study of nonoperative management in a mixed martial arts athlete.

OBJECTIVE
To present an evidence-informed approach to the nonoperative management of a first-time, traumatic anterior shoulder dislocation.


CLINICAL FEATURES
A 30-year-old mixed martial arts athlete, with no prior shoulder injuries, presented one day following a first-time, traumatic anterior shoulder dislocation. An eight-week, individualized, intensive, nonoperative rehabilitation program was immediately begun upon presentation.


INTERVENTION AND OUTCOME
Management consisted of immobilization of the shoulder in external rotation and a progressive rehabilitation program aimed at restoring range of motion, strength of the dynamic stabilizers, and proprioception of the shoulder. Eight weeks post-dislocation the patient had regained full range of motion and strength compared to the unaffected limb and apprehension and relocation tests for instability were negative.


CONCLUSION
This case illustrates successful management of a first-time, traumatic, anterior shoulder dislocation using immobilization in external rotation combined with an intensive rehabilitation program.