Shoulder Pain: Rotator Cuff Tear Or Worse?

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Shoulder Pain: Rotator Cuff Tear Or Worse? - Page #3

Lab Studies: All labwork was normal except for a positive HIV test. Other Studies: X-ray right shoulder: No fractures. No osteoarthritis. MRI right shoulder: Mild atrophy and fatty infiltration of supraspinatus and infraspinatus muscles. Marked acromioclavicular joint osteoarthritis and mild supraspinatus tendinosis was noted. MRI cervical spine: Moderate bilateral neural foraminal narrowing involving C5-C6 and C6-C7 without central spinal canal stenosis. Nerve conduction study: Right median sensory response off the lateral thumb exhibited diminished amplitude possibly related to upper trunk brachial plexopathy. Electromyography: Consistent with right upper trunk brachial plexopathy. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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