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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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