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Unusual Soft Tissue Air Following Shoulder Trauma In A Collegiate Football Player - Page #1
 

Author: Tyler Boone, BA
Co Author #1: Tyler Boone, MS3
Co Author #2: Matthew Pyle, MD
Senior Editor: Kristine Karlson, MD, FAMSSM
Editor: Jeffrey Kepple, MD

Patient Presentation:
19-year-old male presented with pain and subcutaneous emphysema of the right shoulder after sustaining an injury during a football game.

History:
A 19-year-old, male college football player presented to the outpatient sports medicine clinic following an injury to the right shoulder sustained during a game. He was going up for a catch with a defender on him and landed on his right shoulder. An audible pop was heard when he landed. Most of the pain at the time of injury was localized to his right neck with some pain to the right, posterior shoulder blade. The patient reported some numbness and tingling to the right upper extremity and denied difficulty with movement immediately following the injury. Some difficulty was noted when he picked up his water jug, mostly attributed to pain. Interventions from the athletic training department included ice and electrical stimulation.

Physical Exam:
The patient presented with swelling of the supraclavicular area with crepitus and tenderness upon palpation over the suprascapular area and trapezius ridge on the right side. Range of motion and strength were intact for the right upper extremity and neck. The neurovascular exam showed no abnormalities. Lungs were clear to auscultation bilaterally with non-labored breathing. He was afebrile. No wounds or puncture sites were visible on the skin with moderate to severe acne visible on the face and upper chest.

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