A Rare Consequence after Shoulder Dislocation in a Professional Cyclist: A Case Report

Area of Science:

• Sports Medicine
• Neurology
• Orthopedics

Background:

• Cycling is a popular activity with a high incidence of injuries in the US.
• Injuries are categorized as bicycle contact, traumatic, or overuse.
• This case focuses on a rare complication of glenohumeral joint dislocation.

Observation:

• A professional cyclist presented with spontaneous, multidirectional shoulder dislocations.
• Dislocations occurred randomly during the day, linked to psychological state changes.
• Physical therapist identified neuro-physiological and orthopedic red flags, prompting neurological referral.

Findings:

• Neurological examination revealed spontaneous multidirectional dislocations with spasms.
• Medication improved the condition, allowing physical therapy and surgical referral.
• The exact diagnosis remains unclear, potentially involving psychological factors exacerbating shoulder instability.

Implications:

• Highlights the importance of differential diagnosis in physical therapy for complex cases.
• Emphasizes the role of physical therapists in identifying red flags and facilitating interdisciplinary care.
• Suggests a potential link between psychological distress and physical trauma leading to joint instability.