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Review Question - QID 7875

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QID 7875 (Type "7875" in App Search)
A 25-year-old electrician sustained an injury to his dominant arm while bench pressing at the gym. He reports that he felt a tearing sensation while extending his arms. Examination reveals that he has lost the normal contour of the axillary fold which worsens with resisted adduction. Additionally, there is extensive ecchymosis down the arm and weakness to adduction and internal rotation. Radiographs are normal. What is the most appropriate management?