It might be a tumor: a unique presentation of a chronic rotator cuff tear
A 59 year-old male presented to the county emergency department (ED) in southeastern United States for evaluation of a progressively worsening lump on his left shoulder. He describes it as painful and suggests “it might be a tumor”. There were no other associated complaints. On physical examination,...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-12-01
|
| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X2030077X |
| _version_ | 1819105061449498624 |
|---|---|
| author | John Kiel Eamon Olwell |
| author_facet | John Kiel Eamon Olwell |
| author_sort | John Kiel |
| collection | DOAJ |
| description | A 59 year-old male presented to the county emergency department (ED) in southeastern United States for evaluation of a progressively worsening lump on his left shoulder. He describes it as painful and suggests “it might be a tumor”. There were no other associated complaints. On physical examination, there was a firm, non-tender, non-mobile mass without erythema or warmth, superior to the patient's left acromioclavicular (AC) joint. Both hawkins and empty can test were positive for pain. Point-of-care ultrasound identified a fluid filled structure overlying the AC joint. Initial radiographs demonstrated the so-called geyser sign, a finding of synovial fluid expressed through the AC joint consistent with rotator cuff tear. Subsequent CT scan identified atrophy of the supraspinatus muscle most consistent with rotator cuff tear. This case represents a unique presentation of a chronic rotator cuff tear. |
| first_indexed | 2024-12-22T02:16:15Z |
| format | Article |
| id | doaj.art-dfcc2cbff713427e9fba888d32b56f95 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-22T02:16:15Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-dfcc2cbff713427e9fba888d32b56f952022-12-21T18:42:17ZengElsevierAfrican Journal of Emergency Medicine2211-419X2020-12-01104288290It might be a tumor: a unique presentation of a chronic rotator cuff tearJohn Kiel0Eamon Olwell1Corresponding author.; University of Florida College of Medicine Jacksonville, Department of Emergency Medicine, Jacksonville, FL, United States of AmericaUniversity of Florida College of Medicine Jacksonville, Department of Emergency Medicine, Jacksonville, FL, United States of AmericaA 59 year-old male presented to the county emergency department (ED) in southeastern United States for evaluation of a progressively worsening lump on his left shoulder. He describes it as painful and suggests “it might be a tumor”. There were no other associated complaints. On physical examination, there was a firm, non-tender, non-mobile mass without erythema or warmth, superior to the patient's left acromioclavicular (AC) joint. Both hawkins and empty can test were positive for pain. Point-of-care ultrasound identified a fluid filled structure overlying the AC joint. Initial radiographs demonstrated the so-called geyser sign, a finding of synovial fluid expressed through the AC joint consistent with rotator cuff tear. Subsequent CT scan identified atrophy of the supraspinatus muscle most consistent with rotator cuff tear. This case represents a unique presentation of a chronic rotator cuff tear.http://www.sciencedirect.com/science/article/pii/S2211419X2030077XShoulder painRotator cuffOrthopedicsUltrasoundRadiology |
| spellingShingle | John Kiel Eamon Olwell It might be a tumor: a unique presentation of a chronic rotator cuff tear African Journal of Emergency Medicine Shoulder pain Rotator cuff Orthopedics Ultrasound Radiology |
| title | It might be a tumor: a unique presentation of a chronic rotator cuff tear |
| title_full | It might be a tumor: a unique presentation of a chronic rotator cuff tear |
| title_fullStr | It might be a tumor: a unique presentation of a chronic rotator cuff tear |
| title_full_unstemmed | It might be a tumor: a unique presentation of a chronic rotator cuff tear |
| title_short | It might be a tumor: a unique presentation of a chronic rotator cuff tear |
| title_sort | it might be a tumor a unique presentation of a chronic rotator cuff tear |
| topic | Shoulder pain Rotator cuff Orthopedics Ultrasound Radiology |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X2030077X |
| work_keys_str_mv | AT johnkiel itmightbeatumorauniquepresentationofachronicrotatorcufftear AT eamonolwell itmightbeatumorauniquepresentationofachronicrotatorcufftear |