Acute Shoulder Pain In An Adult Gymnast

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Acute Shoulder Pain In An Adult Gymnast - Page #3

Lab Studies: None Other Studies: Initial limited x-ray (AP, internal rotation, and lateral scapula views one week prior to visit): unremarkable. Bedside US: no rotator cuff or biceps tear, but there is a 1.7cm x 1.5cm x 0.8 cm heterogenous mass with a hyperechoic rim and heterogenous core. There are a few hyperechoic punctate calcifications at the medial aspect of the bicipital groove Case Photo #1 . There is fluid within subcoracoid bursa and positive impingement of the bursa with dynamic maneuvers. MRI: intact rotator cuff and biceps tendon, benign mass at medial aspect bicipital groove suspicious for muscular tear Case Photo #2 . Repeat x-ray: subtle calcification over the lesser tuberosity Case Photo #3 , Case Photo #4 . Consultations: None Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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