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A 21-year-old college student has noted increasing pain and soreness in his left shoulder after a summer bucking bales of hay (heavy lifting and turning motions) while at a ranch up in the Cache Valley. On physical examination he can hardly adduct his left arm to the level of his shoulder. An aspiration of the subacromial region is performed and clear fluid is obtained. Which of the following is the most likely diagnosis?

A Tenosynovitis

B Costochondritis

C Bursitis

D Ganglion cyst

E Pseudogout

DDDDDDD not sure...

ddddddddddddd

dd

A OR C

ddd

I think its abduct to shoulder level- A, impingement syndrome causing tenosynovitis

d

c ?

http://orthopedics.about.com/cs/rotatorc...rsitis.htm
http://orthopedics.about.com/od/sportsin...erence.htm

ccc bursitis
thanks iqbalian...