A 17-year-old male presented with shoulder pain after a football tackle. On exam, he held his right arm externally rotated with anterior shoulder fullness. He likely had an anterior shoulder dislocation, as the humeral head was not properly articulating with the glenoid fossa and was inferior and medial. Reduction techniques were used, followed by immobilization in a sling. Follow-up care included physical therapy, possible ligament repair to prevent recurrence, and treatment of potential injuries like Hill-Sachs or Bankart lesions.