In this 17th Episode of The Sports MAP Podcast we chat with Hamish Macauley and discuss some key topics with respect to traumatic shoulder instability. Hamish's thoughts on his experiences working as a head Physio in both professional rugby and the AFL What to expect from Hamish at the Upper Limb Rehabilitation in Sport course in the Gold Coast Posterior dislocation- what are the tell tale signs? Where early management is different between posterior & anterior dislocations Common imaging findings following both posterior & anterior shoulder dislocations Decision making around surgical Vs non surgical management following instability episodes (see further detailed notes below) Differences in post surgical management for anterior and posterior repairs Post surgical rehabilitation Early exercises & targets Time based expectations on restoring ROM and strength How & when to introduce pushing, pulling and over head How and when to take the athlete into venerable positions (Abd/ ER Testing or benchmarking in readiness for a return to play What is often missed in shoulder rehabilitation Contact based conditioning Listen to this Podcast via your favorite platform including Apple, Spotify, Player FM & Stitcher. We hope you enjoy this episode of the Sports MAP Podcast. If you do, please let us know by leaving a review and sharing via Twitter & Facebook. This episode is brought to you by KangaTech & West Coast Health & High Performance (Perth)   Information below on is hyper mobility and key factors that needs to be considered for a surgical decision from Hamish Factors to consider: Occupation: overhead/manual labour vs sedentary Sporting demands – collision sports Co-morbidities/physical inactivity – prolongs recovery Evidence based surgical indications (reduces the chance of recurrence): Male <25 y/o with traumatic MOI, requires relocation + high functional demands = EBP supports surgical repair. Generally the risk factors from the literature for recurrent instability include: young age (<40 = 13x higher; majority occurring <25), being a male, contact sport. I would also include young females in collision sports in this category. However it is a discussion and as we discussed there is evidence that people in this group can have a positive outcome without surgery. Hypermobility: I always question the patient about their episode(s) – patients can use the words dislocation and subluxation synonymously. True dislocation or instability in the absence of dislocation. I always I always question the patient around the MOI and do they have imaging evidence of…