AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

Hammock Trauma - Page #1
 

Author: Tyler Jackson, MD
Co Author #1: Alexander Tomesch, MD
Co Author #2: Will Denq, MD, CAQ-SM
Senior Editor: Carolyn Landsberg, MD
Editor: Michael Beasley, MD, FAMSSM

Patient Presentation:
36-year-old left-handed male presented to Sports Clinic for evaluation of left shoulder pain.

History:
He was lying in a hammock a few days prior when the tree broke, and a trunk fell directly onto his posterior left shoulder. He reported his pain was located deep within the shoulder and was non-radiating. He denied any previous injuries or surgeries to the shoulder. Pain was exacerbated by any upward movement of the shoulder and relieved with use of a shoulder sling and ibuprofen. Of note, he is a journalist by profession and writes for a living.

Physical Exam:
Shoulder exam: <br>Inspection: No asymmetry, atrophy, open wounds, or edema. <br>Palpation: Tenderness at the inferior pole of the scapula and scapular spine; non-tender at the proximal biceps tendon, AC joint, and clavicle. Sulcus sign negative. <br>ROM:Abduction decreased with pain, adduction intact, external rotation <br>decreased with pain, internal rotation intact, flexion decreased with pain, and extension intact. Scapular reach testing to T4 or higher. No scapular winging. <br>Strength: abduction: 4/5, adduction: 5/5, internal rotation: 5/5, <br>external rotation: 5/5. <br>Special tests: Deferred due to findings on imaging.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS



_________________________________

11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

_________________________________

12/04-12/06/2026
2026 Advanced Team Physician Course

_________________________________

4/16-4/21/2027
2027 AMSSM Annual Meeting

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek