Anterior Shoulder Pain In A Division I Wrestler

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Anterior Shoulder Pain In A Division I Wrestler - Page #1

Author: Elizabeth McBee, MS Co Author #1: Mark Rogers DO Co Author #2: Lin Shen DO Co Author #3: Sean Collins ATC Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Charles Litchfield, MD Patient Presentation: A 21-year old Division I male wrestler presented with acute anterior shoulder pain after a match. History: During the match, the wrestler's left arm was forced into external rotation and abduction. He reported difficulty with any range of motion of his left upper extremity. He denied numbness, tingling, and weakness. Physical Exam: Inspection: No significant swelling or discoloration was appreciated Palpation: tenderness to palpation over the lateral aspect of his left pectoralis major and over the tendon of the short head of the left biceps brachii. Range of motion: Limited range of motion in all planes secondary to pain Strength: manual muscle testing 5/5 throughout left upper extremity with limitation in forward flexion due to pain Sensation: intact to light touch throughout left upper extremity Special tests: Osteopathic exam revealed paraspinal hypertonicity and somatic dysfunctions in the cervical, thoracic, and lumbar regions. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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