Painting A Picture Of Chronic Shoulder Pain After Clavicle Fracture,A Water-based Solution

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Painting A Picture Of Chronic Shoulder Pain After Clavicle Fracture,A Water-based Solution - Page #3

Lab Studies: None Other Studies: X-ray clavicle (Initial): Overlapping fracture middle one third right clavicle. Case Photo #1 X-ray clavicle (at 10 months): Healing fracture with overlapping ends. [Photo2] Ultrasound image showing long axis to inferior edge of clavicle using 12 Mhz linear probe [Photo3]. Shows scarring and enlargement of the medial and lateral pectoral nerve clavicular branches near fracture site, with pain to sono-palpation. Ultrasound image showing long axis parallel to rib 1, transverse to brachial plexus trunks. Case Photo #4 . Shows normal omohyoid, subclavius muscle, 1st rib, subclavian artery, but large serratus anterior muscle. Prior clavicle fracture site seen with slight cortical irregularity and pain to sono-palpation. Scarring between lower/inferior trunk (LT) and rib 1 (R1) and middle trunk (MT) and upper/superior trunk (UT). Scarring is also noted between R1 and LT and enlargement at MT and UT. Consultations: Pain management performed a pulsed radiofrequency neuromodulation of the clavicular branches of the lateral pectoral nerve. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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