Shoulder Pain: Rotator Cuff Tear Or Worse? - Page #3
 

Lab Studies:
All labwork was normal except for a positive HIV test.

Other Studies:
X-ray right shoulder: No fractures. No osteoarthritis.
MRI right shoulder: Mild atrophy and fatty infiltration of supraspinatus and infraspinatus muscles. Marked acromioclavicular joint osteoarthritis and mild supraspinatus tendinosis was noted.
MRI cervical spine: Moderate bilateral neural foraminal narrowing involving C5-C6 and C6-C7 without central spinal canal stenosis.
Nerve conduction study: Right median sensory response off the lateral thumb exhibited diminished amplitude possibly related to upper trunk brachial plexopathy.
Electromyography: Consistent with right upper trunk brachial plexopathy.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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