title: Traumatic anterior shoulder dislocation: a case study of nonoperative management in a mixed martial arts athlete.
abstract: OBJECTIVE
  To present an evidence-informed approach to the nonoperative management of a first-time, traumatic anterior shoulder dislocation.
  
  
  METHODS
  A 30-year-old mixed martial arts athlete, with no prior shoulder injuries, presented one day following a first-time, traumatic anterior shoulder dislocation. An eight-week, individualized, intensive, nonoperative rehabilitation program was immediately begun upon presentation.
  
  
  RESULTS
  Management consisted of immobilization of the shoulder in external rotation and a progressive rehabilitation program aimed at restoring range of motion, strength of the dynamic stabilizers, and proprioception of the shoulder. Eight weeks post-dislocation the patient had regained full range of motion and strength compared to the unaffected limb and apprehension and relocation tests for instability were negative.
  
  
  CONCLUSIONS
  This case illustrates successful management of a first-time, traumatic, anterior shoulder dislocation using immobilization in external rotation combined with an intensive rehabilitation program.
authors.affiliation: Sport Sciences Resident, Division of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Sims
authors.forename: Andreo
authors.initials: A
authors.lastname: Spina