Persistent Right Shoulder Pain

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Persistent Right Shoulder Pain - Page #1

Author: Sammy Wu, MD Co Author #1: Scott Klass, MD Co Author #2: Christopher Visco, MD Co Author #3: Christopher Ahmad, MD Senior Editor: Rachel Coel, MD, PhD Editor: Namita Bhardwaj, MD, MS, MPH Patient Presentation: A 42-year-old male softball player/weightlifter presented with right shoulder pain at the mid to distal right clavicle, described as a constant, burning sensation and exacerbated by overhead activity, cross arm adduction, and pushing up. History: He had significant surgical history, including repair of a right shoulder superior labrum anterior to posterior tear in 2010 that occurred after sliding into a base during a softball game. In 2019, he also had a right shoulder acromioplasty, acromioclavicular joint debridement and distal clavicle resection for persistent shoulder pain due to acromioclavicular joint arthritis and impingement. In 2020, he had a repeat right shoulder subacromial decompression with acromioplasty. He had a history of 3 acromioclavicular joint steroid injections. Physical Exam: Inspection: No significant swelling or discoloration was appreciated. Palpation: Tenderness to palpation over the right acromioclavicular joint and distal clavicle. Range of motion: Full with presence of mild right scapular dyskinesis. Strength: 5/5 in upper extremities bilaterally. Sensation: Intact to light touch in upper extremities bilaterally. Special tests: Positive for horizontal cross body adduction test. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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