QUESTION OF THE DAY! 48-year-old IT professional reports a vague ache along the right lateral upper arm and shoulder that has been present for several weeks. He denies numbness, tingling, or weakness. He says his symptoms worsen after long hours at his desk, especially when leaning forward and looking slightly down. Cervical AROM is full but provokes discomfort in right side bending. On exam:
– Spurling’s test mildly reproduces discomfort but does not radiate
– ULNT1 is negative
– Manual overpressure into cervical extension and ipsilateral rotation reproduces his upper arm symptoms
– Deep palpation of the right infraspinatus is also mildly tender
Which diagnosis is MOST consistent with this presentation?
Professional Seminars
QUESTION OF THE DAY!
48-year-old IT professional reports a vague ache along the right lateral upper arm and shoulder that has been present for several weeks. He denies numbness, tingling, or weakness. He says his symptoms worsen after long hours at his desk, especially when leaning forward and looking slightly down. Cervical AROM is full but provokes discomfort in right side bending. On exam:
– Spurling’s test mildly reproduces discomfort but does not radiate
– ULNT1 is negative
– Manual overpressure into cervical extension and ipsilateral rotation reproduces his upper arm symptoms
– Deep palpation of the right infraspinatus is also mildly tender
Which diagnosis is MOST consistent with this presentation?
2 months ago | [YT] | 3