Rehabilitation of a patient after operationally treated idiopathic recurrent, posterior shoulder subluxation.

INTRODUCTION

involuntary, idiopathic, recurrent posterior shoulder subluxation is a rare entity. Subluxation of the shoulder joint occurs with every elevation movement of the hand with a certain level of pain. Active abduction and anteflexion are possible only to 90 degrees. Only surgical treatment produces results.

GOAL: The goal is to show that timely commenced, continuously conducted rehabilitation of the shoulder after surgically repaired involuntary, idiopathic, recurrent posterior subluxation of the shoulder, leads to restitution of function. Case outline R.M. patient 24 years old, was admitted to the Institute for Orthopaedic Surgery and Traumatology, Clinical Center in Belgrade, for surgical treatment. Previously was treated conservatively. ROM (anteflexion 700 abduction 60 degrees) with persistant pain in shoulder. Rehabilitation started first postoperative day.

RESULT: - 2.5 months post surgery- ROM (active movement) antetlexion 165 degrees, abduction 140 degrees, without pain and no tendency of posterior subluxation. - 3.5 months post surgery,full active movements were achieved, except external rotation of -20 degrees. - 5 months post surgery, the patient had full range of motion in all directions.The last control was performed one year after surgery. The patient has no symptoms, lives normal life and is engaged with sports.