Shoulder

[Michael Shilton]

Hi Stephen. Tricky shoulder patient fell off push bike 3 weeks ago, FOOSH instant pain. Weak and restricted abduction, adduction, flexion and both internal and external rotation. I expected to find a SSP tear. I can hardly see any SSC fibres, do they rupture like this or is my scanning off? I will also x-ray this chap to see if any fractures apparent. Any help would be much appreciated, Thanks Mike.

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[Stephen Bird]

Hi Mike,

I think he may well have taken his subscap clean off !

the mechanism of injury may well have resulted in rapid and violent external rotation which makes sense.

Try the “lift off test” I get they can’t do it.

plain radiographs are essential here as there was significant trauma.

Lovely images Mike,

I think you can see fluid where a tendon used to live,

Steve

[Michael Shilton]

Many thanks Steve, I’m so grateful for your mentoring, it gives me confidence that I’m not making stuff up. Mike

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