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Description of the Symptom


This chapter describes pathology that may lead to shoulder pain. Local causes of shoulder pain include pathology that occurs within the humerus, scapula, and clavicle; acromioclavicular joint, glenohumeral joint, and sternoclavicular joint; and associated soft tissue structures. Remote causes are defined as occurring outside this region.


Special Concerns


  • Asymmetry in shoulder contour between sides, or change in contour of the affected shoulder, with loss of rotation range of motion

  • Abnormal sensorimotor status of the affected upper extremity

  • Warmth and erythema of the shoulder region

  • Constitutional symptoms associated with onset of shoulder pain

  • History of trauma or recent seizure

  • Unremitting pain not associated with direct movement of the shoulder

  • Severe sharp, stabbing pain of several minutes in duration

  • Trauma associated with high irritability and inability to move the shoulder

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CHAPTER PREVIEW: Conditions That May Lead to Shoulder Pain

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