Open AccessA Clinical Vignette of Insidious Shoulder Pain and Weakness
Author(s) -
Ashley Wong,
Travis L. Cleland
Publication year - 2019
Publication title -
american journal of physical medicine and rehabilitation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 101
eISSN - 1537-7385
pISSN - 0894-9115
DOI - 10.1097/phm.0000000000001296
Subject(s) - medicine , weakness , vignette , differential diagnosis , physical examination , physical therapy , physical medicine and rehabilitation , muscle weakness , electromyography , surgery , pathology , psychology , social psychology
We present a case of a 53-yr-old woman presenting with insidious shoulder pain and weakness. This case will go through the physical examination of the shoulder, a broad differential diagnosis, and analysis of appropriate imaging and tests to culminate in determining the final diagnosis. The objective of this clinical vignette was to highlight the importance of obtaining an extensive differential for shoulder pain and give readers a chance to critically analyze the case findings through electromyography interpretation, evaluating neurological signs and identifying key points in history taking. In addition, readers will also learn the evidence behind the available treatment options.