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© 2017, Australasian Medical Journal Pty Ltd. All rights reserved. We report the case of a female Field Guide based at the British Antarctic Survey’s Rothera Science Research Station on Adelaide Island, Antarctica who independently contacted a physiotherapist specialising in climbing related injuries (GJ) located in the UK. For a second opinion. The Field Guide was experiencing significant work difficulties due to shoulder pain and subsequent loss of function particularly in overhead activities. The case raises important issues about the medical management of Field Guides operating in extreme environments and remote locations.

Painful shoulder? Remote clinical management of a Field Guide with shoulder pain and loss of shoulder function in Antarctica