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What's the diagnosis-painful shoulder
Part 3
8
Health Care
Professional
05/06/2013

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Cards

Term
A 26-year old male presents with shoulder pain after falling on the shoulder. On examination, there is a step-down in the right acromioclavicular joint. Downward traction on the affected arm increases the gap and aggravates the pain.
Definition
Acromioclavicular Separation
Term
A 54-year old female presents with a painful right shoulder. The pain is worse at night and with movement of the shoulder. On examination, there is restriction of motion in all planes of the right shoulder and any active movement causes pain. Mazion maneuver causes pain. MRI shows marked thickening of the joint capsule.
Definition
Adhesive Capsulitis
Term
A 23-year old male baseball pitcher presents with left anterior shoulder pain. The pain is worse with pulling or lifting heavy objects. On examination, there is tenderness 3 inches below the anterior portion of the acromion. Speed and Yergason tests are positive. Ultrasound shows calcification and edema in the affected structure.
Definition
Bicipital Tendinitis
Term
A 14-year old teenager baseball pitcher complains of pain in the right shoulder especially when he throws the ball hard. On examination, there is tenderness over the lateral aspect of the proximal part of his right humerus. There is slight weakness on external rotation. An x-ray of his shoulder shows widening of the proximal humeral epiphysial plate. What is the diagnosis?
Definition
Little Leaguer’s Shoulder
Term
A 68-year old chronic male smoker presents with pain in the left shoulder. On examination, there is fullness in the left supraclavicular region. Chest x-ray shows a mass in the apex of the left lung. A biopsy of the mass shows a squamous cell malignancy.
Definition
Pancoast Tumor
Term
A 38-year old female badminton player complains of right shoulder pain which prevents her from playing overhead shots. She is unable to abduct the arm fully. On examination, there is limited abduction of the right shoulder. Hawkins-Kennedy and Codman tests are positive. X-ray shows calcification in the subacromial space.
Definition
Rotator Cuff Injury
Term
A 63-year old female presents with pain over the lateral aspect of the right shoulder. On examination, there is marked tenderness just below the lateral aspect of the acromion. Dawbarn’s test is positive.
Definition
Subacromial Bursitis
Term
A 24-year old volleyball player presents with pain in the shoulder which prevents her from serving overhead. On examination, Jobe test is positive along with the Impingement test. MRI shows pathology in the affected structure.
Definition
Supraspinatus tendinitis
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