Atraumatic Instability

Abstract

A 17-year-old girl attends with her anxious parents with a history of recurrent subluxations of her shoulder for the past 2 years. There is no history of any significant traumatic event and no true dislocations, requiring relocation. Both the parents are busy TV “celebrities” and are busy professionals. The girl describes recurrent dislocations in different directions. On active forward flexion, she has a reproducible posterior subluxation of her shoulder in the midrange. Her Beighton score is 7/9, sulcus sign is positive, and one can see muscle patterning behaviour and scapular dyskinesia on arm elevation.