Your patient sustained a traumatic injury to his shoulder 3 weeks ago.You have been treating him because of decreased shoulder ROM and strength and general lack of functional reaching and overhead use of the upper extremity.Today he reports that he has been experiencing increased pain,swelling,and stiffness down into his hand.
A) These signs are the result of a thoracic outlet syndrome;begin treating this region as well.
B) The patient is possibly developing reflex sympathetic dystrophy;treatment should be initiated to reduce swelling,maintain range,and increase usage of the hand.
C) These signs are a normal reaction to trauma;it is important to tell the patient he is engaging in too much activity.
D) These are signs of a possible clot;immediately send him to the emergency room.

Question

Quizplus · Accepted Answer

The patient may be developing reflex sympathetic dystrophy, also known as complex regional pain syndrome. This can cause increased pain, swelling, and stiffness, and it is important to begin treatment to reduce swelling and maintain range of motion in the affected extremity. Close monitoring and follow-up are also important to avoid potential complications.

Your Patient Sustained a Traumatic Injury to His Shoulder 3