The patient is an 82-year-old man who slipped on the street, experiencing a blow to his right shoulder.
He has significant local swelling in the injured shoulder (specifically, over the acromioclavicular joint), as well as significantly limited range of motion. His distal pulses are normal.

View the x-ray taken and consider what your diagnosis and next steps would be.

82-year-old man slips and takes a blow to his shoulder

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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