Remember To Stretch Before Bone Breaking

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Remember To Stretch Before Bone Breaking - Page #1

Author: Kenneth Peyser, DO Co Author #1: Ziva Petrin, MD Senior Editor: Drew Duerson, MD Editor: Kevin Chiang, MD, MEd Patient Presentation: A 27-year-old ambidextrous male flex dancer presented with left arm tingling. This occurred daily, and it was associated with shoulder dislocations while dancing. History: His first shoulder dislocation occurred on the left side at age 19 while performing bone breaking movements during break dancing. His right shoulder would dislocate as well, but less frequently. Shoulder instability episodes became more frequent over time and started to occur not only during dancing, but also during daily activities, occurring daily for the last 2 years. He sought out medical attention primarily due to the recent onset of paresthesias in his left shoulder and fingertips during dislocations. He worked for a shipping company, and shoulder instability limited his ability to lift heavy packages. Regarding his past medical history, he did not have a history of Ehlers-Danlos syndrome. There was no family history of shoulder instability. Physical Exam: On examination, he had normal-appearing shoulders, without evidence of shoulder girdle muscle wasting or scapular winging. Cervical spine range of motion was normal and non-painful. Strength and sensation in the upper extremities were normal. Reflexes were preserved. Shoulder range of motion was within normal limits. There was a positive apprehension sign in bilateral shoulders. The patient could reproduce anterior dislocation of the shoulders. The patient's Beighton score was 2/9. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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