![painful look over the shoulder girl painful look over the shoulder girl](https://www.girlsgonestrong.com/wp-content/uploads/2020/03/shoulder-pain-1-shutterstock_202168222.png)
She also noted pain, but no significant weakness, with supraspinatus and infraspinatus testing. She was able to actively forward elevate her shoulder to 160°, abduct 120°, externally rotate with the elbow at her side to 40° and internally rotate posteriorly to the thoracolumbar junction without crepitus, but with pain at terminal ranges of motion. She was tender to palpation over the acromioclavicular joint.
#Painful look over the shoulder girl skin#
The skin overlying the left shoulder was unremarkable and there was no observable swelling, lymphadenopathy or muscle atrophy.
![painful look over the shoulder girl painful look over the shoulder girl](https://ae01.alicdn.com/kf/HTB12JdSoxTI8KJjSspiq6zM4FXaU/Medical-Shoulder-Support-Brace-Wrap-Belt-Health-Care-Shoulder-Band-Arthritis-Pain-Relief-Shoulder-Support-For.jpg)
She presented to our office for a second opinion regarding her treatment options.Įxamination revealed a well-appearing female. She opted for nonoperative management, but her symptoms failed to improve with physical therapy or anti-inflammatories. At that time, she was diagnosed with osteonecrosis of the left humeral head and a total shoulder arthroplasty was recommended.
![painful look over the shoulder girl painful look over the shoulder girl](http://333oee3bik6e1t8q4y139009mcg.wpengine.netdna-cdn.com/wp-content/uploads/2012/03/GALLSTONES_SymptomsPic.png)
During her initial work-up approximately 1 year prior to presentation, an outside orthopedist obtained left shoulder radiographs as well as MRI (Figure 1). She denied constitutional symptoms, such as fevers, weight loss or night sweats. She also reported pain that awakened her at night when she rolled onto her left side and noted associated shoulder weakness. She described a constant dull pain, which escalated to sharp pain with activities that required reaching away from her body. Her symptoms began insidiously approximately 1 year prior to presentation, and had recently begun to limit her activities of daily living. If you continue to have this issue please contact to HealioĪ 55-year-old right-hand dominant chef with a history of depression and tobacco use presented to our clinic with worsening atraumatic left shoulder pain.