Acute Shoulder Pain In A Basketball Player: A Novel Approach To Management

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Acute Shoulder Pain In A Basketball Player: A Novel Approach To Management - Page #1

Author: Alexis Diaz, MD, MBA Co Author #1: Manuel Colon Garcia de la Noceda, MD,FACEP Co Author #2: Yedidiach Ortiz-Gonzalez, MD-MPH Co Author #3: Eileen N. Guzman-Rojas, MD-MS Senior Editor: Siobhan Statuta, MD, FAMSSM Editor: Jonathan Santana, DO Patient Presentation: A 19 year old male presented to the emergency department with the complaint of acute left shoulder pain. History: This patient, who had no pertinent past medical history, presented to the emergency department with the complaint of acute left shoulder pain after he fell onto his left arm during a club basketball game. He recalls feeling immediate moderate to severe pain and had an obvious deformity of his left arm. He denied experiencing any loss of consciousness, numbness or tingling in the affected arm. Physical Exam: Vitals: Temperature: 37.2, Pulse 109, Respirations 16, BP 145/79, and oxygen saturation 96% on room air. The patient appeared to be in obvious pain, holding up the affected arm in abduction and resisting attempts to adduct the shoulder. There was a palpable radial pulse, as well as sensation to pain and touch in the various dermatomes of the shoulder, arm and hands. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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