Shoulder

Patient Profile

100

40yo male working as a painter with a report of anterolateral pain 

Impingement Syndrome 

200

19yo softball player reports superior shoulder pain after diving for a catch 

AC Joint Pathology 

300

24 yo football player with a reported shoulder dislocation during a game and report of arm numbness 

Brachial Plexus Pathology 

400

45yo Asian woman with hypothyroidism 

Adhesive Capsulitis 

500

30 yo male with report of shoulder and upper back pain

Liver/Gallbladder cause of shoulder pain 

Referral Patterns

100

anterolateral dull shoulder  pain 

AC joint  

200

Neck pain with posterolateral shoulder pain

spinal accessory nerve pain 

300

burning pain in the scapula 

long thoracic nerve pathology

400

anterior shoulder pain radiating to the scapula 

subscapularis muscle pathology 

500

Atrophy of supraspinatus and infraspinatus with deep posterior shoulder pain

suprascapular nerve entrapment

Red Flags

100

left shoulder pain with feeling of pressure on their chest 

Myocardial infarction 

200

posterior shoulder pain with reports of blood in their urine(hematuria)

renal pathology 

300

Superior shoulder pain with smoking history

pancoast tumor 

400

 shoulder pain with SOB and tachycardia after prolonged history of smoking  

pulmonary cause 

500

Shoulder pain with fever

septic arthritis 

Special Tests

100

shoulder pain at 75°

subacromial impingement syndrome 

200

patient's arm drops 

supraspinatus tear 

300

deep shoulder pain with IR 

SLAP lesion

400

weak resisted ER 

classic outlet impingement 

500

arm slaps back 

subscapularis tear 

Throwbacks

100

MOI: landing after a jump w/ a report of a pop

ACL tear 

200

runner reporting lateral knee pain 

ITB friction syndrome

300

gymnast with LBP during repetitive lumbar extension 

Spondylolysis

400

11yo

SCFE (Slipped capital femoral epiphysis)

500

pain w/ resisted adduction and abdominal exertion 

Athletic Pubalgia (sports hernia)