A 38-year-old female patient presents with acute shoulder pain following a fall on an outstretched arm during a spring skiing vacation. There is a normal appearance to the shoulder, but significant pain even with minimal attempts at range of motion. The clavicle and elbow are nontender. Neurovascular status is intact.

View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

A 38-Year-Old Woman with Shoulder Pain
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