Bilateral Shoulder Pain In A Young Weightlifter

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Bilateral Shoulder Pain In A Young Weightlifter - Page #1

Author: Tyler Schmitz, DO Senior Editor: Carolyn Landsberg, MD Editor: Steven Brown, MD Patient Presentation: Patient presented with a history of four to five months of atraumatic bilateral shoulder pain that coincided with the beginning of routine weightlifting. History: The patient rates their pain as 5/10 in severity. Pain was worse with lifting and shooting a basketball, and it localized to the superior aspect of both shoulders. Pain was noticeably worse after bench press, squats, and deadlifts. The patient received mild relief from over-the-counter ibuprofen. Physical Exam: Point tenderness at the bilateral acromion, left greater than right. Range of motion was 170 degrees of flexion bilaterally, 80 degrees of external rotation on the right and 70 degrees of external rotation on the left. Equal and full strength bilaterally. Pain was reproduced at the superior aspect of the shoulder with resisted external rotation, flexion, and abduction. Impingement testing produced pain on the left but none on right. O'Briens was mildly positive bilaterally. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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