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HPI
A 55-year-old male presents with severe right shoulder pain and deformity following a high-speed motorcycle collision. He was initially treated with 6 weeks of conservative management with physical therapy. His pain persisted and remained severe.
PMH
Otherwise healthy
PE
His right shoulder shows a profound prominence, mobility, and tenderness over the distal clavicle. His range of motion is limited in all planes. He has reduced strength. His neurovascular status is intact.
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Diagnostic arthroscopy of the R shoulder; Open AC/CC reconstruction with allograft; Distal clavicle resection