A 36-year-old Woman With Posterior Shoulder Pain
| Autor: | Kevin M. MacDonald, Stephanie A. Koplin, John P. Heiner, James J Choi |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
musculoskeletal diseases medicine.medical_specialty Constitutional symptoms Bone Neoplasms Physical examination Curettage Diagnosis Differential Shoulder Pain medicine Humans Orthopedics and Sports Medicine Humerus Arthrography Pain Measurement Bone Transplantation medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine medicine.disease Orthopaedic • Radiology • Pathology Conference Treatment Outcome medicine.anatomical_structure Orthopedic surgery Female Surgery Radiology Differential diagnosis Tomography X-Ray Computed Range of motion business human activities Posterior shoulder Chondroma |
| Zdroj: | Clinical Orthopaedics & Related Research. 466:1010-1014 |
| ISSN: | 0009-921X |
| Popis: | A 36-year-old woman presented with posterior right shoulder pain. She was referred after imaging studies revealed a proximal humerus lesion. She reported slowly progressive pain in the right shoulder for the past 15 years. The pain was aggravated by activity. Her work as a manual laborer in a factory increased her pain. She denied any constitutional symptoms such as fevers, chills, or weight loss. Physical examination of the right shoulder revealed no skin abnormalities and no palpable masses or lymphadenopathy. There was some mild posterior shoulder tenderness. She maintained full, nonirritable range of motion in the shoulder. She had full strength throughout the right upper extremity with the exception of 4/5 strength in shoulder external rotation. There were no sensory deficits in the right upper extremity. Imaging studies included plain radiographs (Fig. 1), computed tomography (CT) imaging (Fig. 2), and magnetic resonance imaging (MRI) (Fig. 3). Based on the history, physical examination, and imaging studies, what is the differential diagnosis? |
| Databáze: | OpenAIRE |
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