Author: Vinit Madhvani, MD
Co Author #1: Vinit Madhvani, MD
Co Author #2: Arthur Ting, MD
Co Author #3: Michael Henehan, Do
Editor: Marc Hilgers, MD, PhD
Right shoulder pain
40 yo male involved in mixed martial arts altercation with right upper extremity placed in arm bar. Case Photo #1Patient's arm was externally rotated and hyper-extended in the transverse plane. He presented to a local emergency department one hour after with pain, swelling and unable to move arm. No prior injury, no currently medical problems. No concussive symptoms but having paraesthesia along lateral aspect of right arm.
Inspection - Obvious deformity with anterior sulcus
Palpation - Tender over right glenohumeral joint
Sensory - Decreased C5, intact C6-T1
Strength - deltoid, supraspinatus, infraspinatus 0/5, biceps, triceps 5/5. teres minor, subscap 2/5
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