Rifle shooting produces a sudden counterforce against the body thorough the anterior shoulder, which may produce a traumatic injury in soldiers. Posterior instability of the shoulder can occur in soldiers who practice rifle shooting. To the authors' knowledge, few reports have examined shooting-related injuries in soldiers. This article describes the case of a 27-year-old male soldier who presented with left shoulder pain and instability after rifle training. He developed symptoms, and presented radiographic findings consistent with a posterior Bankart lesion. Intraoperatively, while in the lateral decubitus position, a posterior portal was created 3 cm inferior and 2 cm lateral to the posterolateral corner of acromion for making a proper angle for inserting anchors. A reverse bony Bankart lesion and adjacent cartilage breakdown at the glenoid rim were noted. An arthroscopic capsulolabral repair was performed with 3-mm bioabsorbable anchors to the glenoid rim. No gross reverse Hill-Sachs lesion or hyaline cartilage lesion was noted. Postoperatively, the arm was supported in a sling with an abduction pillow for 5 weeks. Codman's exercises, scapular protraction exercises, and elbow and wrist exercises were started. Physical therapy focused on reestablishing glenohumeral range of motion and rotator cuff and periscapular muscle strength. Six months postoperatively, the patient had normal scapular kinesis and reported no shoulder pain or symptoms of instability associated with a reverse bony Bankart lesion.
[1]
M. Alessandrini,et al.
Paroxysmal positional vertigo in skeet shooters and hunters
,
2007,
European Archives of Oto-Rhino-Laryngology.
[2]
K. Mononen,et al.
Relationships between postural balance, rifle stability and shooting accuracy among novice rifle shooters
,
2006,
Scandinavian journal of medicine & science in sports.
[3]
Young Shin Lee,et al.
A Study on the Human Impulse Characteristics with Standing Shooting Posture
,
2005
.
[4]
N. Čičak,et al.
Posterior dislocation of the shoulder.
,
2004,
The Journal of bone and joint surgery. British volume.
[5]
K. Mononen,et al.
Effects of 12‐week shooting training and mode of feedback on shooting scores among novice shooters
,
2001,
Scandinavian journal of medicine & science in sports.
[6]
D. Xa.
Neurologic Injuries in the Athlete's Shoulder.
,
2000
.