Posterior labral injuries commonly occur in rugby players due to the high impact nature of the sport. A video analysis study identified the 'try-scorer', 'direct impact', 'tackler', and 'flexed landing' mechanisms as common causes of these injuries. For patients without prior surgery, an MR arthrogram is recommended to investigate posterior labral injuries, while a CT arthrogram is preferred for those with a history of shoulder surgery. The document then provides brief case histories of three professional rugby players who sustained posterior labral injuries.

1. Posterior Labral Injuries
Mr. Puneet Monga
Consultant Orthopaedic Shoulder Surgeon

2. Common Setting-
Rugby

3. Issues
• High Impact sport
• Big players
• Large forces going across the joint

4. Mechanism and
Pathology

5. Video Analysis Study
• ‘Try-Scorer’
• ‘Direct Impact’
• ‘Tackler’
• ‘Flexed landing’
Crichton, Jones & Funk - BJSM 2012

6. Management

7. Investigations
• No previous Surgery = MR
Arthrogram
• Previous Surgery = CT Arthrogram

8. 21 year Pro Rugby player

13. 29 year Pro Rugby

14. 24 yr Pro Rugby
player

15. Repair technique