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HPI
A 43-year-old male presents with left shoulder pain after a fall from mountain bike 4 days prior to evaluation. The pain is exacerbated by overhead activities. He has difficulty reaching above the waist and has nighttime pain.
PMH
His past surgical history is significant for a previous left clavicle fracture that was treated with nonoperative management 13 years prior.
PE
On physical exam, there is no gross deformity. He has tenderness over the greater tuberosity. The range of motion exam shows: - active/passive terminal elevation 45/170 degrees - active/passive external rotation 15/60 degrees - internal rotation to T6 bilaterally. The motor exam shows: - 1/5 supraspinatus - 2/5 infraspinatus - 5/5 subscapularis The neurovascular exam is intact.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Arthroscopic Rotator Cuff Repair