Issn Print: 0195-9131

Publication Date: 1997/05/01


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SHOULDER PAIN: FOOTBALL 581

E. G. McFarland; S. Bliven; A. Medina; J. Martire

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Excerpt

HISTORY - A nineteen year old college football player sustained a direct blow to his left, non-dominant shoudler in a football game. He landed on a flexed elbow and had immediate, severe pain in his shoulder. He felt his arm go dead but did not feel it dislocate or subluxate. After the pain subsided, he returned to play despite a mild ache which persisted for several days. Two weeks later, he sustained a re-injury to the same shoulder when making a tackle. He felt no paresthesia but had significant posterior shoulder pain.
PHYSICAL EXAMINATION - The player was taken to the training room, where he was in mild distress. He had no atrophy or deformity and had full ROM of his neck. He was entirely neurologically intact for all dermatomes and myotomes with normal reflexes. He had limited active abduction to 100 degrees with pain in his posterior shoulder. He had tenderness on his posterior-inferior joint line. Anterior apprehension test was negative. Supine, he had pain with a posterior drawer but no anterior or posterior subluxations. Three days later his exam was unchanged, despite ice and NSAID's.
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