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ThePainfulShoulder:PartI.ClinicalEvaluation
TABLE1
KeyFindingsintheHistoryandPhysicalExamination
FINDING PROBABLEDIAGNOSIS
Scapularwinging,trauma,recentviralillness Serratusanteriorortrapezius
dysfunction
Seizureandinabilitytopassivelyoractivelyrotateaffectedarm Posteriorshoulderdislocation
externally
Supraspinatus/infraspinatuswasting Rotatorcufftearsuprascapularnerve
entrapment
Painradiatingbelowelbowdecreasedcervicalrangeofmotion Cervicaldiscdisease
Shoulderpaininthrowingathletesanteriorglenohumeraljointpain Glenohumeraljointinstability
andimpingement
Painorclunkingsoundwithoverheadmotion Labraldisorder
Nighttimeshoulderpain Impingement
Generalizedligamentouslaxity Multidirectionalinstability
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