Anterior Shoulder Pain In A Division I Wrestler - Page #1

Author: Elizabeth McBee, MS
Co Author #1: Mark Rogers DO
Co Author #2: Lin Shen DO
Co Author #3: Sean Collins ATC
Senior Editor: Margaret Gibson, MD, FAMSSM
Editor: Charles Litchfield, MD, MS

Patient Presentation:
A 21-year old Division I male wrestler presented with acute anterior shoulder pain after a match.

During the match, the wrestler's left arm was forced into external rotation and abduction. He reported difficulty with any range of motion of his left upper extremity. He denied numbness, tingling, and weakness.

Physical Exam:
Inspection: No significant swelling or discoloration was appreciated
Palpation: tenderness to palpation over the lateral aspect of his left pectoralis major and over the tendon of the short head of the left biceps brachii.
Range of motion: Limited range of motion in all planes secondary to pain
Strength: manual muscle testing 5/5 throughout left upper extremity with limitation in forward flexion due to pain
Sensation: intact to light touch throughout left upper extremity
Special tests: Osteopathic exam revealed paraspinal hypertonicity and somatic dysfunctions in the cervical, thoracic, and lumbar regions.

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