A 36-year-old male weight-lifter complained of a dull-achy sensation in his right shoulder. He reported that there was no trauma or previous injury to the affected region.
Figure 1: Note the 6 cm inferior difference of the affected right shoulder when compared to the unaffected left shoulder.
The only significant finding during physical examination was Apley’s Scratch Test, Action 3. During the third maneuver, the patient is instructed to place the hand on the low back and then attempts to reach as far superior as possible; towards the scapula.(3) This action tested for glenohumeral adduction, internal rotation, and scapular retraction with downward rotation.(3) There was an approximate 6 cm inferior difference between the affected right shoulder and the unaffected left shoulder.
All other orthopedic examination findings were unremarkable for pain and decreased range of motion.