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Stinging Shoulder Shimmy: Shoulder Pain In A Recreational Bollywood Dancer - Page #1
 

Author: Hamza Uddin, MD, MBA, MSML
Co Author #1: Matthew Wise, DO, CAQSM
Senior Editor: Drew Duerson, MD
Editor: Emily Catalano, MD

Patient Presentation:
A 31-year-old female with no significant past medical history presented for evaluation of left posterior shoulder pain and symptomatic scapular snapping that developed after starting recreational Bollywood dance classes.

History:
She first noticed the pain while performing repetitive overhead shoulder isolation movements on the left side. The pain was described as sharp and localized between the shoulder and upper back. She reported that certain overhead movements produced a popping sensation followed by pain, without associated swelling. <br> <br>She denied any history of trauma to the area. She also denied weakness, numbness, paresthesias, or other neurologic symptoms.

Physical Exam:
The left shoulder demonstrated normal alignment without swelling, discoloration, or atrophy compared with the contralateral side. <br> <br>There was tenderness to palpation involving the rhomboid, infraspinatus, teres minor, teres major, and quadrilateral space regions. <br> <br>Active range of motion demonstrated full flexion, extension, abduction, and external rotation with the arm adducted. External rotation with the arm abducted was limited. Internal rotation behind the back was limited to the level of T3. <br> <br>Strength testing demonstrated full supraspinatus strength, although pain was reproduced during testing. Subscapularis and deltoid strength were intact without associated pain. Infraspinatus strength was 4/5 and reproduced the patient's symptoms. <br> <br>Jobe's test, load-and-shift testing, and sulcus sign were positive. Neer, Speed, and O'Brien tests were negative. <br> <br>The Beighton score was 5/9. <br> <br>Neurovascular examination was normal. <br> <br>Examination of the right shoulder, including active range of motion, passive range of motion, and special testing, was unremarkable.

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