A 78-year-old male presented to a Doctor of Chiropractic
on 8-14-00 with pain in the left shoulder and neck stiffness.
There is history of a rotator cuff tear approximately three
years ago which occurred after a slip-and-fall accident and
there has been left shoulder problems intermittently since
that time. On the most current visits, there was increasing
difficulty moving his neck as well as increased left shoulder
pain extending along the left shoulder blade region. He was
doing his exercises regularly which had been prescribed for
his rotator cuff injury and had done nothing out of the ordinary
to bring on the pain which is quite sharp with movement, occurs
frequently, and is not changing. Patient was a smoker for
years and has a history of diabetes mellitus.
CLINICAL AND ORTHOPEDIC FINDINGS:
Orthopedic evaluation revealed loss of abduction motion with
loss of strength in both abduction and external rotation.
There was focal pain at the rotator cuff insertion site on
the greater tuberosity. Other orthopedic tests were essentially
negative. Trigger points in the levator scapula and teres
minor reproduced some of the shoulder pain. The patient was
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Introduction to Unknown Cases
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