JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Article

Journal of Clinical and Biomedical Sciences

Year: 2024, Volume: 14, Issue: 2, Pages: 62-67

Case Report

Bankart Lesion: A Case Study of Evidence-Based Post-Operative Physiotherapy Management

Received Date:31 May 2024, Accepted Date:07 June 2024, Published Date:24 July 2024

Abstract

Objective: To present an evidence- based post-operative physiotherapy management of Bankart lesion. Clinical Features: A 21-year-old male with a right shoulder Bankart lesion underwent corrective surgery after three years. Four weeks of intensive physiotherapy was initiated to restore shoulder function and improve his quality of life. Intervention and Outcome: Management included pain relief therapy and a progressive rehabilitation program focused on restoring range of motion, strengthening dynamic stabilizers, and improving shoulder proprioception. Four weeks post-operative physiotherapy, the patient regained full range of motion and strength comparable to the unaffected limb and was able to perform all daily functional activities. Conclusion: The case study on evidence-based postoperative physiotherapy management for Bankart lesions demonstrated substantial improvements in shoulder range of motion, muscle strength, and functional activity.

Keywords

Bankart Lesion, Post Physiotherapy Management, Rehabilitation

References

  1. Goetti P, Denard PJ, PC, MI, Hoffmeyer P, Lädermann A. Shoulder biomechanics in normal and selected pathological conditions. EFORT Open Reviews. 2020;5(8):508–518. Available from: https://doi.org/10.1302/2058-5241.5.200006
  2. Omoumiet P, Teixeira P, FL, Chung CB. Glenohumeral Joint Instability. Journal of Magnetic Resonance Imaging. 2011;33(1):2–16. Available from: https://doi.org/10.1002/jmri.22343
  3. Kim K, Saper MG. Postoperative Management Following Arthroscopic Bankart Repair in Adolescents and Young Adults: A Systematic Review. Arthroscopy, Sports Medicine, and Rehabilitation. 2020;2(6):839–845. Available from: https://doi.org/10.1016/j.asmr.2020.05.016
  4. McCarty EC, Ritchie P, Gill HS, McFarland EG. Shoulder instability: return to play. Clinics in Sports Medicine. 2004;23(3):335–351. Available from: https://doi.org/10.1016/j.csm.2004.02.004
  5. Handoll HHG, Hanchard NCA, Goodchild L, Feary J. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database of Systematic Reviews. 2006;(1). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004962.pub2/full
  6. Dines DM, Levinson M. The conservative management of the unstable shoulder including rehabilitation. Clinics in Sports Medicine. 1995;14(4):797–816. Available from: https://pubmed.ncbi.nlm.nih.gov/8582000/
  7. Naughton J, Adams R, Maher C. Upper-body wobbleboard training effects on the post-dislocation shoulder. Physical Therapy in Sport. 2005;6(1):31–37. Available from: https://doi.org/10.1016/j.ptsp.2004.05.005
  8. Swanik KA, Lephart SM, Swanik CB, Lephart SP, Stone DA, Fu FH. The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics. Journal of Shoulder and Elbow Surgery. 2002;11(6):579–586. Available from: https://doi.org/10.1067/mse.2002.127303
  9. Handoll HHG, Al-Maiyah MA. Surgical versus nonsurgical treatment for acute anterior shoulder dislocation. Cochrane Database of Systematic Reviews. 2004;(1) 1–31. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8805122/pdf/CD004325.pdf
  10. Samosawala NR, Vaishali K, Kalyana BC. Measurement of muscle strength with handheld dynamometer in Intensive Care Unit. Indian Journal of Critical Care Medicine. 2016;20(1):21–26. Available from: https://doi.org/10.4103/0972-5229.173683
  11. Hovelius L, Olofsson A, Sandström B, Augustini BG, Krantz L, Fredin H, et al. Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger - a prospective twenty-five year follow-up. The Journal of Bone and Joint Surgery. 2008;90(5):945–952. Available from: https://doi.org/10.2106/jbjs.g.00070

Copyright

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Published By Sri Devaraj Urs Academy of Higher Education, Kolar, Karnataka

DON'T MISS OUT!

Subscribe now for latest articles and news.