Test Your Knowledge on Shoulder Injuries in Urgent Care (Postscript 1 of 2)

Evidence-Based Urgent Care Postscript
Managing Shoulder Injuries in the Urgent Care: Fracture, Dislocation, and Overuse | July 2024

A 27-year-old man presents to urgent care with a gradual onset of shoulder pain that worsens with overhead activities and at night. He reports no history of trauma. The physical examination reveals tenderness over the lateral aspect of the shoulder and a positive Neer test. What is the most likely diagnosis and initial management plan for this patient?

  1. Rotator cuff tear; refer to the ED for an MRI
  2. Adhesive capsulitis; administer corticosteroid injection
  3. Shoulder impingement syndrome; administer NSAID injection and refer to physical therapy
  4. Shoulder dislocation; perform immediate reduction

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