The Amateur Cliff Jumper

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The Amateur Cliff Jumper - Page #1

Author: Laura Murphy, DO Co Author #1: Laura Murphy, DO PGY-2 Co Author #2: David Bazzo, MD Co Author #3: Jarrod Yamanaka, MD Senior Editor: Larry Nolan, DO Editor: Marc Hilgers, MD, PhD, FAMSSM Patient Presentation: 40 year old retired professional hurdler presents for two weeks of left shoulder pain after jumping 30 feet off of a cliff into a lake. History: The patient landed in water with forced abduction injury of left shoulder. Upon landing he felt a pop in his shoulder immediately followed by pain and swelling. Patient did not seek medical care at this time and instead wore a sling. Over the course of two weeks he continued to have very limited range of motion, swelling, and pain. Pain is located mostly posteriorly, quality is sharp, and exacerbated with any activity. No numbness or tingling in his extremities. Physical Exam: Vital signs are within normal limits. Left shoulder exam reveals prominent resting sulcus sign with palpable effusion. There is tenderness to palpation of the posterior portion of the shoulder. He has very limited range of motion in all planes secondary to pain and therefore unable to perform special tests. The distal medial/radial/ulnar nerves are intact with full sensation and strength 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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