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shoulder

AC Joint Sprain, Grade I, Left Shoulder, Initial Encounter

ICD-10 Code
S43.52XA_1

Standardized diagnosis for AC Joint Sprain, Grade I, Left Shoulder, Initial Encounter.

Clinical Presentation & Protocol

Patient Usually Complains Of

Insidious onset of anterolateral shoulder pain, radiating down the deltoid. Exacerbated by overhead activities, reaching behind the back, and lifting. Classic severe nocturnal pain (inability to sleep on affected side). Progressive weakness in abduction.

Clinical Examination Findings

Holds the affected arm close to the torso to avoid provocative arcs.

Treatment Protocol

1. Meloxicam 15mg daily. 2. PT focusing strictly on periscapular stabilizers and avoiding overhead lifting. 3. Subacromial Corticosteroid Injection administered. 4. Ordered MRI Shoulder (non-contrast) to evaluate tendon retraction and tear size.

Detailed clinical guide coming soon.