A Not So Simple Case Of Shoulder Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

A Not So Simple Case Of Shoulder Pain - Page #1

Author: Ruikang Liu, MD Co Author #1: Jessica Butts, MD Senior Editor: Kristine Karlson, MD, FAMSSM Editor: Jason Blackham, MD Patient Presentation: 13 year old male right hand dominant baseball pitcher presented to sports medicine clinic for right shoulder pain. History: He had insidious onset of pain shortly after the start of the baseball season without identifiable trauma. Pain was localized to the anterior/superior right shoulder and was exacerbated during the acceleration and follow through phase of a throw. Intensity ranged from 7-8/10 during a throw and 5-6/10 during general play but no pain at rest or with activities of daily living. Heat, ice, stretching, and Advil all helped the pain. He has been playing baseball since age 7. ROS neg for swelling, ecchymosis, numbness/tingling, weakness, rashes or constitutional symptoms. Physical Exam: Vitals were normal. Right shoulder had mild downsloping compared to the L. No atrophy. No focal tenderness to palpation. Active and passive forward flexion and abduction of the shoulder limited bilaterally R>L, with R side abduction and forward flexion of 150 degrees. Shoulder internal rotation to L2 on R and L4 on L. R scapular dyskinesis noted during abduction with early activation, delayed release and mild protraction. Pain is reproducible with resisted shoulder abduction and provocative testing of infraspinatus and supraspinatus (localizes more to proximal humerus than RC). Strength 5/5. Negative belly press, empty can, Hawkin's/Neer's, Speed/Yergason, O'Brien's, shift/clunk, and sulcus sign. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC