Trauma

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Case 2
Shoulder Pain

A 50 yo sailor was referred with 4 week history of left shoulder pain and weakness -TMU Sea., Provisional diagnosis -rotator cuff tendinitis.

Examination revealed normal cervical spine, Supraspinatus, subscapularis power was normal. Apprehension and O’Briens tests were normal. Power in Left infraspinatus was 0/5. There was a history of flu-like illness 2 weeks prior to the onset of symptoms. MRI and nerve conduction studies confirmed a denervation pattern in Left infraspinatus, confirming the diagnosis of brachial neuritis and suprascapular nerve mononeuropathy.

Moral: Not all shoulder pain in the 50s plus is rotator cuff or frozen shoulder

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