text:  In Clinic his cervical spine examination was benign . Shoulder elevation is 170 degrees with 70 degrees of external rotation and internal rotation of the right shoulder to T9 vertebra versus T7 on the left . Rotator cuff measures 4-5 on the right and 5 out of 5 on the left . Mild pain with resistive test and his Pigott sign is mildly positive on the right   negative on the left . There is 1 cm. sulcus sign bilaterally . Laxity is noted as well as markedly positive apprehension sign on the right . Biceps are normal . HOSPITAL COURSE AND TREATMENT  The patient was admitted to the Hospital and was taken to the operating room for an open Bankart procedure with biceps tenodesis  Please see the operative note for full details  . Postoperatively   the patient did very well and was neurovascularly intact . His wound was intact   clean and dry and it was covered with perioperative antibiotics . He was discharged to home on Percocet . He was given strict instructions to limit his external rotation no more than 30 degrees . He was seen by physical therapy prior to discharge . FOLLOW UP  He is to follow up with Dr. Rach Breutznedeaisscarvwierst in Clinic .