Peter D. Fabricant, MD, MPH

A 14-year-old right hand dominant female patient presented with the chief complaint of left non-dominant shoulder pain associated with a decreased range of motion. She described her pain as being diffusely throughout the shoulder joint anteriorly, posteriorly and laterally. She rated her pain at 5 out of 10 and took naproxen occasionally as needed. She initially noted this pain about 3 months prior to consultation after she sustained a minor trauma during tae kwon do lessons which was not sufficient to remove her from participation in the sport. A few weeks prior to her presentation, she was evaluated by a physical therapist, however, no formal recommendations were made and she received formal treatment for her symptoms. In addition to tae kwon do, the patient participated in soccer and softball. Upon systems review, she refuted any numbness, tingling or paresthesia distal to her shoulder joint on both her left and right side.