40 y.o. male presents with achy right shoulder pain that he states he has had off & on all of his life. Doctors said he had "brachial plexus since birth" (quote from patient). No relief w/meds, injections, or PT. No history of trauma. Abduction & external rotation are limited (patient states "it has always been like that"). Any thoughts about this shoulder, especially the AC joint?

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50 yo male. Accidental self inflicted GSW 6 years ago. Patient is unable to lift or move arm. He has seen several doctors about amputation and none will perform the surgery.

- [Figure 5 of brachial plexus taken from:](https://app.figure1.com/case-detail/1ce984ab-ab9c-4ace-8a00-086dd48e8580) [orthoinfo.aaos.org](https://orthoinfo.aaos.org/en/diseases--conditions/brachial-plexus-injuries)/ with permission from Mayo Foundation for medical Education and research

patient came in with much pain on his left shoulder and stated that he has had this for about 3 days now. what do you think is going on here ?

#Shoulder #Emergency

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