Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, deep-seated right shoulder pain localized to the superior aspect of the glenohumeral joint. Reports mechanical symptoms including clicking, popping, and occasional catching during overhead activities or throwing motions. Pain is exacerbated by abduction and external rotation. No history of acute dislocation, though patient notes repetitive overhead strain.
Clinical Examination Findings
Right shoulder inspection reveals no atrophy of the supraspinatus or infraspinatus fossae. Palpation elicits tenderness at the bicipital groove. Range of motion is full but painful at end-range abduction. Positive O'Brien's test (active compression test) and positive Crank test. Speedโs test and Yergasonโs test are positive, suggesting superior labral involvement. Neurovascular status is intact distally.
Treatment Protocol
Initial management includes activity modification, avoidance of overhead activities, and a structured physical therapy program focusing on rotator cuff strengthening and scapular stabilization. NSAIDs prescribed for pain and inflammation. If symptoms persist beyond 3-6 months, consider MRI arthrogram to confirm SLAP lesion grade and evaluate for surgical intervention (arthroscopic debridement or labral repair).