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The Diagnosis Can Be Elusive

Logan, an avid power lifter, injured his Migraine Care Review shoulder 5 years ago at age 25. He was performing a heavy bench press when he felt like his shoulder "slipped." He had extreme difficulty performing the bench press and military press after the injury and gradually started to have difficulty with other activities.

He was initially evaluated by an orthopedic surgeon and an MRI was ordered, but he was told "there is nothing wrong." He gradually stopped lifting weights and reduced his activities, but when the pain and discomfort persisted he sought a second opinion from another orthopedic surgeon and a diagnosis of impingement was made with a recommendation to "shave down a spur that is cutting into your rotator cuff." Confused, Logan did some research and took a friend's advice and scheduled an evaluation at our shoulder clinic.

His history and examination were both highly consistent with chronic posterior instability and we recommended an MRI arthrogram to confirm the diagnosis. The MRI arthrogram confirmed extensive posterior labrum tearing that now also extended at least half way around the glenoid (socket). We reviewed our arthroscopic surgical protocol for unstable shoulder and he was extremely relieved to finally have a diagnosis and wanted to proceed with arthroscopic repair. An arthroscopic global capsular shift with labrum repair was performed and although his primary direction of injury was posterior he required a labrum repair both in the front and the back of the shoulder.https://optimusforexreview.com/migraine-care-review/