A 29-year-old male presents with right shoulder pain, throbbing, and swelling. He states that a bulge has appeared over his right anterior shoulder recently (Image 1). While he was doing pushups today, he began to have numbness, tingling, and weakness in his right arm. While in the waiting room, his symptoms have completely resolved.
Resources and References:
Check out ALiEM’s SplintER Series to brush up on other can’t miss shoulder and arm injuries or our corresponding SAEM Clinical Image Series: Pinching Pain.
- Hussain MA, Aljabri B, Al-Omran M. Vascular thoracic outlet syndrome. Seminars in thoracic and cardiovascular surgery 2016 Mar 1 (Vol. 28, No. 1, pp. 151-157). WB Saunders. PMID: 31037504
- Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK. Paget-Schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. Western Journal of Emergency Medicine. 2010 Sep;11(4):358. PMID: 21079709
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