Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right shoulder pain following [mechanism of injury, e.g., high-energy trauma/fall]. Reports localized tenderness, significant limitation in range of motion, and mechanical instability of the glenohumeral joint. No neurovascular deficits reported.
Clinical Examination Findings
Right shoulder inspection reveals ecchymosis and localized swelling over the posterior/lateral scapular region. Palpation demonstrates point tenderness over the glenoid fossa. Passive range of motion is severely restricted due to pain. Neurovascular exam: radial pulse 2+, capillary refill <2s, intact sensation in axillary, musculocutaneous, and radial nerve distributions.
Treatment Protocol
Immobilization with a shoulder sling/immobilizer for comfort. Analgesia initiated with NSAIDs/acetaminophen. Orthopedic consultation requested for definitive management (surgical vs. conservative). Strict avoidance of overhead lifting or weight-bearing on the right upper extremity.