Case Studies

Just a few of many interesting case studies

Case Study 1
Mr L.L. is a 61 year old, right-handed driver. He has a two-year history of pain in his left shoulder: there was no history of injury and sleeping on that side was particularly painful. Two subacromial injections by his GP and 10 visits to his physiotherapist had not helped him much. Of note in his past medical history was that he was a diabetic.
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Case Study 2
Father McB is a 67-year-old right-handed priest who fell on a wet floor while attending a 40th anniversary in Sedgefield. He landed on his left shoulder, giving rise to severe pain immediately. He was rushed to the local hospital where a diagnosis of “dislocated shoulder” was made. This was immediately reduced under sedation and placed in a sling. Despite the reduction, the pain in the shoulder persisted.
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Case Study 3
Mr F.P. is a 16-year-old right-handed schoolboy, presented with a two-month history of pain in his left shoulder after falling directly onto it in a rugby match. He definitely did not feel the shoulder came out of joint at the time, but started getting pain the following day. No further injuries were sustained and at no time did the shoulder feel unstable.
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Case Study 4
Mrs S.R. a 70 year old, retired right handed lady presented with an 8 month history of pain in the right shoulder. She gave no history of trauma and found that sleeping on that side and abducting the arm were painful activities. She had not received any physiotherapy or cortisone injections to the affected shoulder.
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Case Study 5
Mrs V.M.a 76 year old right handed lady presented with a 3 day history of severe pain in the right shoulder after falling and landing on her right shoulder. Of note in her past history was that she injured the same shoulder 4 years ago. She was diagnosed as a “tendon rupture”and treated conservatively. She tells me she took “years” to recover.
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Case Study 6
Mrs B.P. a 48 yr old, right handed mother of 2, presented on 12 Jan 2002 with a 8 month history of a painful right shoulder, which came on gradually over a few weeks. She had seen her GP on 2 occasions, who had diagnosed her as having “impingement” and given her 2 subacromial injections, which provided about 4 weeks pain relief on each occasion.On both occasions the pain had returned.
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