Relevant PMH:
- Hypertension (under medical treatment)
- Right hand dominant

Chief Complain: Right Shoulder

Activities:
- Cycling
- Scuba diving
- Padel Tennis (had to stop because of CC)

VISIT 1: June 16th 2013

- 2005- Fall with OSH, shoulder pain. No specific treatment. Stopped playing Padel Tennis.
- 2010- While lifting a heavy object (table), felt a pop in the shoulder & developed a mass in the anterior arm (biceps)
- 2013- (June) While cycling, fall with OSH. VAS 8/10 pain, loss of function in right shoulder. Epitroclear pain (right elbow) and right wrist pain
o NSAIDs & rest.

Physical Examination
Scapular muscle hypotrophy. Popeye sign. All shoulder movements have some scapulothoracic compensation.

ROM active/passive
o Abd- 170º compensated / 180º pain
o FF- 160º compensated / 170º pain
o ER- 30º / 35º pain
o IR- L2 /L2 pain
o Abd90+ER- 0º pain
o Abd90+IR- 40º pain
- Muscle resistance test
o SpE neg pain
o SbE neg pain
o InE +/- pain
o Tm ok
- Tests
o Jobe ++
o Bear hug ++
o ER power ++
o ER lag ++
o Belly press ++
o Gerber ++
o IR lag ++
o Neer ++
o Hawkins ++