A 69-year-old male, with a history of prior left rotator cuff repair in 2001, presents with progressive left shoulder pain. He worked as a carpenter for 40 years before retiring earlier this year. For the past 2 years, he has had progressive worsening of left shoulder pain with associated weakness and difficulty with overhead activities. A trial of NSAIDS and physical therapy did not improve his symptoms.
PMH: Hypertension
Prior rotator cuff repair (2001)
Focused physical examination of the left shoulder demonstrates tenderness to palpation laterally below the acromion and anteriorly over the bicipital groove. Left shoulder range of motion reveals active/passive abduction to 80/120, forward elevation to 110/160, external rotation at side to 30/50, and internal rotation to L5 vertebra. There is a positive Jobe’s test with a negative belly press test. He is neurovascularly intact.
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