Why You Should Tap Out. A Complex Shoulder Injury - Page #1

Author: Vinit Madhvani, MD
Co Author #1: Vinit Madhvani, MD
Co Author #2: Arthur Ting, MD
Co Author #3: Michael Henehan, Do

Patient Presentation:
Right shoulder pain

40 yo male involved in mixed martial arts altercation with right upper extremity placed in arm bar. Case Photo #1 Patient'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.

Physical Exam:
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

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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Leawood, KS 66211
Phone: 913.327.1415

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