Case VI: Shoulder Pain

Department of Neurosurgery, University of Wisconsin, Madison, WI, USA


6.1 Case Presentation

A 37-year-old male experienced acute pain in the right shoulder while watching television 5 months ago. There was no history of trauma except that a week prior he was running in the airport carrying a 20-pound computer bag. The pain was dull and throbbing. Then he noticed difficulty with overhead movements. The pain subsided over 4 days. The arm movement slightly improved but is still significantly impaired. There is no tingling or numbness.


Fig. 6.1

6.2 Questions

  1. 1.

    What do you see?


  2. 2.

    Which muscles/nerves cause this condition?


  3. 3.

    What is the most likely diagnosis?


  4. 4.

    Any tests you want to order?


  5. 5.

    What is the treatment?


  6. 6.

    What is the prognosis?



  1. 1.

    Figure 6.1. The patient has right scapular winging , worse with elbows extension (A).


  2. 2.

    This can be caused by paralysis of:
Aug 29, 2017 | Posted by in ORTHOPEDIC | Comments Off on Case VI: Shoulder Pain

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