A 54-Year-Old Man Comes to the Office Due to Right

A 54-year-old man comes to the office due to right shoulder and arm pain.  His symptoms began 3 days ago after playing golf for several hours.  The patient states that his right arm feels weak, especially when lifting objects.  He has no prior medical conditions and takes no medications.  Physical examination shows spasm of the cervical paraspinal muscles.  There is mild weakness of right elbow flexion, and the biceps reflex is decreased on the right.  The pain improves when the patient is instructed to lift the right arm above the head and rest the hand on the top of his head.  Which of the following is the most likely diagnosis?

A) Cervical muscle strain
B) Cervical radiculopathy
C) Rotator cuff muscle tear
D) Shoulder joint capsulitis
E) Thoracic outlet syndrome

Correct Answer:

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