An Uncommon Case Of Shoulder Pain

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An Uncommon Case Of Shoulder Pain - Page #1

Author: Amean Amra, DO Senior Editor: Kevin Gray, MD Editor: Holly Beach, MD Patient Presentation: A 13-year-old right-handed male presented to the urgent care clinic for left shoulder pain. The pain was reported as 7/10, nonradiating and sharp over the anterior and superior aspects of the shoulder. He denied any associated numbness or tingling. Alleviating factors included immobilization, rest, heat, ice and Tylenol. Overhead activities and lifting exacerbated his pain. History: The patient was playing soccer earlier the day of his presentation. He was slide tackled, landed on his left shoulder and then was kicked twice while on the ground. Physical Exam: Inspection of the left upper extremity revealed no gross deformity. There was tenderness to palpation near the coracoid process. Range of motion of the shoulder was decreased with abduction and forward flexion. 4/5 strength was noted with resisted abduction and forward flexion. Examination of the neck, elbow and wrist were unremarkable. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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