Shoulder Disorders: Review Questions

1. A 25-year-old woman with a history of seizures presents to the emergency department with severe right shoulder pain and severely limited shoulder range of motion (ROM) after a seizure she experienced earlier in the day. Prior to the seizure, shoulder function was normal. On examination, both active and passive ROM are limited due to pain. External rotation is limited to –20 degrees. An anteroposterior (AP) radiograph is performed (Figure 1). What is the next most appropriate step in this patient’s management? (A) Axillary radiograph (B) Erythrocyte sedimentation rate (C) Magnetic resonance imaging (MRI) of the shoulder (D) Manipulation under anesthesia (E) Sling immobilization for 2 weeks