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Stuck in the Shoulder: Thawing Out the Mystery of Shoulder Pain

Author: Kareem Shahin, DO
Peer-Reviewer: Noopur Basu, MD
Final Editor: Katie Boehm, DO

A 54-year-old female with a history of type 2 diabetes presents to the ED with severe left shoulder pain after she woke up this morning. She denies any falls or trauma. On exam, she has marked reduced range of motion in all planes, most notably 25° with external rotation.  Radiograph reveals the following:

Image 1: Plain radiograph of the left shoulder. Case courtesy of Salman S. Albakheet,, rID: 59785


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