Glenohumeral Arthritis (Shoulder Arthritis) Pathway Posted: 4/30/2021 ID: (C101753) Shoulder360™ The Comprehensive Shoulder Course

Glenoid Cartilage Defect in 44M

PRESENTATION

POLLS

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OUTCOMES

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EVIDENCE

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CASE DESCRIPTION

AGE	44 / Male
CC	Right shoulder pain
HPI	A 44-year-old male laborer presents with several months of persistent right shoulder pain. The pain began when he "pulled" his arm at work. The pain is present at night and prevents him from getting a restful night of sleep. He has attempted oral NSAIDs with minimal relief. He is unable to work due to this pain. Denies numbness or tingling of the right arm.
PMH	Obesity
PE	A focused physical examination of the right upper extremity reveals no gross deformities. There is no appreciable effusion or swelling over the right shoulder. Active ROM is 0-180 without appreciable pain. There is guarding throughout the range of motion with flexion and abduction. Rotator cuff, deltoid, biceps, and triceps strength is 5/5. He is neurovascularly intact.

AGE/GENDER:

44 / Male

CHIEF COMPLAINT:

Right shoulder pain

HISTORY OF PRESENT ILLNESS:

A 44-year-old male laborer presents with several months of persistent right shoulder pain. The pain began when he "pulled" his arm at work. The pain is present at night and prevents him from getting a restful night of sleep. He has attempted oral NSAIDs with minimal relief. He is unable to work due to this pain. Denies numbness or tingling of the right arm.

PAST MEDICAL HISTORY:	Obesity
PHYSICAL EXAM:	A focused physical examination of the right upper extremity reveals no gross deformities. There is no appreciable effusion or swelling over the right shoulder. Active ROM is 0-180 without appreciable pain. There is guarding throughout the range of motion with flexion and abduction. Rotator cuff, deltoid, biceps, and triceps strength is 5/5. He is neurovascularly intact.
DIAGNOSIS:	Glenoid Cartilage Defect in 44M