Author: Emily Sweeney, MD
Editor: Marc Hilgers, MD, PhD, FAMSSM
Senior Editor: Marc Hilgers, MD, PhD, FAMSSM
A 15 year old male presented with left shoulder pain.
A 15 year-old male football player presented to clinic for a left shoulder injury sustained 1 week ago. The patient had been practicing tackling drills at football when he started to notice left shoulder pain. There was not one specific tackle that started the pain and he was able to finish practice. Two days later, he continued to have pain but went to a weightlifting session for football. When he lifted the barbell quickly for a clean, he suddenly had increased pain in the same location. He saw his Primary Care Physician a few days later and was referred to a sports medicine clinic. At the time of evaluation, he localized his pain to the superior left shoulder and upper back. The pain was exacerbated with any shoulder movement but not with neck movement. He denied numbness, tingling, trouble breathing, shortness of breath or fevers, however, he did have increased pain with taking a deep breath.
The patient was a well-built male in no acute distress. On inspection, he had mild swelling over the superior and medial scapula and over the left cervical paraspinal muscles. There was no bruising. He was tender over the superior medial scapula and over the left cervical paraspinal muscles. There was no tenderness over the lateral scapula, clavicle, proximal humerus, or cervical spine. He had full shoulder motion but it was very painful in all directions. He had full neck motion except for slight limitation in lateral bending to the left. Strength and special tests were not performed due to patient discomfort. He had intact radial pulses and a normal motor and sensory examination.
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