Surgeon: J. SANCHEZ-SOTELO
Shoulder: left
Patient: 51 y/o male, right-handed
Profession: contract manager
Sport: hiking, hunting
Medical history: testicular cancer 1999, knee prosthesis, symptomatic disc herniation, arterial hypertension, psoriasis
recurrent instability after 2x @ bankart 2007 (Dr. elsewhere)
latarjet 2008 (LL), screw removal 2010 (LL)
Anamnesis:
Despite pseudarthrosis of coracoid good po evolution. Since 3 y after a fall of several metres. Impossible to sleep because of the pain at night. PT and infiltration have helped a little.
Symptoms:
Pain, limitation of mobility and weakness
Phys Exam:
ELEV 170°, ABD 90°, ER1 20°, IR1 T10, PUT 15+5, Jobe 15+5,
RER 10+5, BPT 10+5, BHT 10+5, Yocum +, Appreh. +
Score:
VAS 6/10, SSV 10%, CS 43
