Painful shoulder-Moving deltoid syndrome

A painful shoulder.

Diagnosis: Clostridium perfringens septic arthritis. Although the initial Gram stain of the sample of purulent material obtained from the patient’s shoulder (figure 1) revealed only rare gram-variable rods with no neutrophils, the culture eventually grew C. perfringens. The “double zone” of hemolysis seen in figure 2 is very characteristic of C. perfringens. The zone of partial hemolysis is due...

The Painful Shoulder

PAIN in the shoulder may result from lesions of a gross nature, such as fractures, dislocations, tuberculosis, bone tumours, and infective arthritis, and may also be due to conditions of the cervical spine, the neck, the apex of the lung and pleura, and obstruction of the cervico-axillary outlet. As well as this, pain may be felt in the shoulder from visceral disturbance, notably from heart and...

The painful shoulder.

Painful Hemiplegic Shoulder

Shoulder pain resulting from hemiplegia is a common clinical consequence of a focal cerebral insult resulting from a vascular lesion (ie. hemorrhagic or ischemic stroke). Painful hemiplegic shoulder can occur as early as 2 weeks post stroke but an onset time of 2-3 months post stroke is more typical. Shoulder pain can negatively affect rehabilitation outcomes as good shoulder function is a prer...

Teaching video NeuroImages: painful legs and moving toes syndrome.

Justin T. Mhoon, MD Kaveer Nandigam, MD Vern C. Juel, MD A 37-year-old man developed involuntary and irregular abduction, adduction, and circumductive movements of the left toes 5 years ago. One year later, he developed similar movements of the right toes (video). The movements occurred at rest, could be voluntarily suppressed, and did not persist during sleep. He also described parallel onset ...