daily questions

[Scott Rand]

A 17 year old football player exits the game after a play due to severe right shoulder pain.  Pain symptoms are completely resolved by the time he is examined on the sideline but he describes the pain as primary over the lateral shoulder with some radiation to the posterior arm and lateral forearm.  Examination reveals no deformity or tenderness to palpation of the shoulder.  He has slight weakness to the deltoid, supraspinatus and infraspinatus muscles.  He has normal muscle strength on shoulder shrug, biceps, triceps, grip strength, and wrist pronation, supination, flexion and extension.  He has mild sensory changes to the lateral shoulder but normal sensation over the arm, forearm and hand.  The most likely location for the injury is:

A.     radial nerve

B.      posterior cord

C.      upper trunk

D.     lower subscapular nerve

E.      lateral cord

 

 

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Scott E Rand, MD  FAAFP CAQSM

Director, Primary Care Sports Medicine Fellowship

Co Director of Sports Medicine, Houston Methodist Orthopedics and Sports Medicine Willowbrook

Assistant Professor of Clinical Family Medicine  Houston Methodist Academic Institute

Adjunct Assistant Professor of Family and Community Medicine, Texas A&M University

Assistant Professor of Family Medicine in Clinical Medicine  Weill Cornell Medical College.

13802 Centerfield Dr  Suite 300

Houston, TX  77070