Insidious Shoulder Pain In A Young Female

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Insidious Shoulder Pain In A Young Female - Page #3

Lab Studies: Elevated anti-cyclic citrullinated peptide: 178 <br>Elevated rheumatoid factor: 57 <br>Antinuclear antibodies: negative <br>Elevated C-reactive protein: 1.2 <br>Elevated erythrocyte sedimentation rate: 28 Other Studies: Right shoulder XR: No fractures or periosteal changes. No dislocation. No soft tissue <br>calcifications are seen. <br>Right shoulder MRI without contrast: Extensive complex appearing fluid distending glenohumeral joint, biceps sheath and subacromial subdeltoid bursa. Suggestive of synovitis or <br>inflammatory or crystalline arthropathy. Full-thickness defect with partial thickness undersurface <br>tear of posterior supraspinatus tendon. Complete disruption of long head of biceps tendon. <br>Right shoulder MRI without contrast, axial view: <a href="CaseStudyImages/CS1InsidiousShoulder-1002.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> Right Shoulder MRI #1 - axial view <br>Right shoulder MRI without contrast, coronal view: <a href="CaseStudyImages/CS2CS1InsidiousShoul-1002.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> Right Shoulder MRI #2 - coronal <br>view) Consultations: Orthopedic surgery <br>Rheumatology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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