Ortho Hors D'oeuvres (Answer):
To review, this is a 19 year-old female presenting with right shoulder pain after axial blow to the right shoulder. Questions and Answers: 1) What are the findings on the initial radiographs? The patient's axillary and AP films of the right shoulder are normal and show no evidence of fracture or dislocation. Her clavicle film also shows no evidence of fracture, but with close investigation of the medial aspect of her right clavicle, she does appear to have some asymmetry at t
Ortho Hors D'oeuvres (Prompt):
Patient is a 19 year-old right-handed female presenting with right shoulder pain. She was playing lacrosse when she fell directly down onto her right shoulder. On physical examination, she has tenderness to palpation at the medial clavicle with associated mild swelling. She has no bony tenderness to the distal clavicle or glenohumeral joint. Her range of motion of the shoulder is limited secondary to pain, but her neurovascular examination is normal distally. Radiographs are
Ortho Hors D'oeuvres (Answer):
To review, this is a 50 year-old woman with right shoulder pain after direct fall. Her physical examination shows tenderness to palpation over the distal clavicle. Questions and Answers: 1) What is the suspected diagnosis based on history, examination, and imaging? The patient has tenderness at the distal clavicle and just inferior to the distal clavicle; this is the location of the AC joint and indicates some level of acromioclavicular (AC) injury with the possibility of fur
