Author: Joseph Coppiano, MD
Co Author #1: Beau Gedrick D.O. ; Department of Orthopedics, Medical College of Georgia
Co Author #2: Stephen Parada M.D. ; Department of Orthopedics, Medical College of Georgia
Senior Editor: Margaret Gibson, MD, FAMSSM
Editor: James Robinson, MD
A 23 year-old male drummer presented to sports medicine clinic for left shoulder pain as a referral following abnormal MRI
Left shoulder pain has been occurring for several months and is associated with weakness, lower back pain, and night sweats. Patient was given left shoulder injection at outside urgent care without any relief in symptoms. MRI after injection showed fluid pockets behind the labrum and anterior left biceps. Of note, the patient recently moved from Arizona 1 month ago. Ultrasound guided drainage demonstrated purulent material. Patient was admitted to the hospital. Patient underwent arthroscopic irrigation, debridement, and biopsy.
General: No acute distress; Cardiopulmonary: Regular rate and Rhythm. Lungs clear to auscultation with no increased work of breathing; Integumentary: No erythema or skin break down; MSK: Tense swelling can be appreciated along the left shoulder. Tenderness to palpation along the left shoulder, bilateral ribs, and midline spinous processes. Range of motion limited by pain. Patient otherwise neuro-vascularly intact
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