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CONDITION/DISORDER SYNONYMS
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Torn pectoral
Pectoral rupture
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S43.499A Other sprain of unspecified shoulder joint, initial encounter
S46.819A Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter
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PREFERRED PRACTICE PATTERNS
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4D: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation
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PATIENT PRESENTATION
A 23-year-old male college gymnast presents with right shoulder pain and significant ecchymosis that spreads down to the elbow. He reports that he over-rotated during a flip on the parallel bars and he caught himself with his right arm. He felt a sudden sharp pain in his right shoulder and then a cramp-like contraction in his right arm and chest. He later noticed discoloration in his chest and right arm and a depression in the right anterior portion of his chest. He states that he feels a constant pain in his right shoulder along with noticeable weakness.
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Essentials of Diagnosis
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Rare condition
Diagnosis is made by history and clinical examination with MRI for confirmation of location
Occurs from a sudden high force, typically with ...