The goal of treatment after Achilles tendon rupture (ATR) is to restore appropriate tension to the tendon, so that normal baseline strength and functional soft-tissue length can be achieved. The assessment of plantarflexion strength has shown widespread variability. The purpose of this study is to document variations in strength assessment after the treatment of ATR in the literature. A comprehensive literature review was performed. In total, 2758 articles were found on Achilles tendon rupture and Achilles tendon strength measurement. The full text of articles including strength as a functional outcome measurement in the abstract were assessed. All objective strength measurements performed were reviewed and recorded for comparison. One-hundred articles were included in our study. In 78 articles, a dynamometer was used to measure strength, whereas in 22 articles, an endurance test (n=14) or formal gait assessment (n=8) was applied. When a dynamometer was used, there was wide variability in the various methods used including the incorporation of both isokinetic (n = 65) and isometric (n = 29) exercises utilizing varying degrees of knee flexion and patient testing position. Furthermore, the number of measurements at certain angular velocities varied. This study illustrates that no general consensus exists regarding an optimal method for measuring strength after ATR. The variability creates difficulty and challenges medical professionals’ ability to formulate consistent conclusions when determining functional performance outcomes. A more uniform way of measuring strength after ATR may allow for better comparisons between studies in the literature, potentially leading to a better understanding of strength. Levels of Evidence: Therapeutic, Level II

T raumatic inferior shoulder dislocations, also known as luxatio erecta, are extremely rare, accounting for only 0.5% of all dislocations. 28,37 Furthermore, combined capsulolabral and rotator cuff injuries occur in less than 1% of all shoulder dislocations. 21 To date and to our knowledge, there have been no published case reports of the surgical and rehabilitative principles that would help guide the postsurgical rehabilitation of capsulolabral lesions with concomitant rotator cuff pathology in elite-level, overhead, professional athletes. Rehabilitation following this type of injury is challenging because of the diverse healing considerations for each of the structures involved, as well as the postoperative complications that may manifest in these situations and hinder the recovery of a patient trying to regain glenohumeral joint stability and function. This can be a career-ending injury to a quarterback trying to return to the rigors of professional football.This case report presents a rare clinical situation, in which the unique healing and mobility concerns following a combined acute 330° capsulolabral and rotator cuff repair of the throwing shoulder in an elite professional quarterback were addressed using a multiphased rehabilitation approach. CASE DESCRIPTION The patient was a 26-year-old professional football player who, during a regular-season game, sustained a right inferior shoulder dislocation (luxatio erecta) 5 while diving to the ground to recover a fumble. As he was reaching overhead with his right arm to T T STUDY DESIGN: Case report. T T BACKGROUND:Traumatic glenohumeral dislocations with concomitant rotator cuff and capsular injuries present a unique and challenging surgical and rehabilitative condition, particularly in the overhead-throwing athlete. Multiple injuries of the shoulder complex create the potential for complications in the course of recovery and place a full return to high-level sport at risk. The purpose of this case report is to present the multiphased rehabilitation approach of an elite professional quarterback after an acute 330° capsulolabral reconstruction and rotator cuff repair as a result of a luxatio erecta injury. T T CASE DESCRIPTION:A 26-year-old male professional football player, a quarterback, sustained a right luxatio erecta shoulder dislocation while trying to recover a fumble during a regular-season game. The injury occurred when he was hit in the back of his throwing shoulder, which was in an abducted and externally rotated position, while lying on the ground. Five days postinjury, he underwent a 330° capsulolabral repair, with concomitant rotator cuff repair and subacromial decompression. He completed 28 weeks of a multiphased rehabilitation program. T T OUTCOMES:The patient returned to play in the National Football League (NFL) 8 months later, for the start of the next season, during which he had his most productive year as a professional quarterback, leading the league in passing yards and finishing third in the league for the number of touchdowns. Since th...