Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with right shoulder pain following an acute injury. Reports deep, aching pain localized to the superior aspect of the glenohumeral joint, exacerbated by overhead activities and throwing motions. Complains of mechanical symptoms including clicking, popping, and a sensation of instability. No history of prior shoulder dislocation or surgery.
Clinical Examination Findings
Right shoulder inspection reveals no gross deformity or atrophy. Palpation demonstrates tenderness at the bicipital groove and superior glenohumeral joint line. Range of motion is full but painful at end-range abduction and external rotation. Positive OโBrienโs test, positive Crank test, and positive Biceps Load II test. Neurovascular status is intact distally.
Treatment Protocol
Initial management includes activity modification, avoidance of overhead activities, and initiation of a structured physical therapy program focusing on rotator cuff strengthening and scapular stabilization. Prescribed NSAIDs for pain and inflammation. Follow-up MRI of the right shoulder ordered to confirm SLAP lesion morphology.