The Physician and Sportsmedicine
Menubar Home Journal Personal Health Resource Center CME Advertiser Services About Us

Imaging Quiz: A Soldier's Neck and Shoulder Pain

Carlos E. Jiménez, MD; Elmer J. Pacheco, MD; Albert J. Moreno, MD; Alan L. Carpenter, DO

THE PHYSICIAN AND SPORTSMEDICINE - VOL 24 - NO. 6 - JUNE 96


A 38-year-old male soldier presented to an acute care clinic complaining of 24 hours of persistent, bilateral shoulder and neck pain after a 12-mile road march. He denied any history of prior trauma to either area. On physical examination, there was diffuse tenderness in both supraclavicular areas as well as over the posterior neck.

The patient did not respond to treatment with analgesics and nonsteroidal anti-inflammatory drugs given over a 48-hour period. Radiographs of his clavicle and neck are shown in figure 1. He was referred to our office for a bone scan to assess a possible stress-related periosteal reaction. A bone scan of his upper body is shown in figure 2.

[FIGURE 1]

[FIGURE 2]

What's your diagnosis? What tests would you order to confirm it?

The opinions or assertions presented here are the private views of the authors and are not to be construed as official or as reflecting the views of the US Department of the Army or Department of Defense.

Dr Jiménez is a second year fellow, Dr Pacheco is a staff physician, Dr Moreno is chief, and Dr Carpenter is a staff physician, all in the Nuclear Medicine Service in the Department of Medicine at William Beaumont Army Medical Center in El Paso, Texas. All are members of the Society of Nuclear Medicine. Address correspondence to Carlos E. Jiménez, MD, 7453 B O'Reilly St, El Paso, TX 79930-4226.


RETURN TO JUNE 1996 TABLE OF CONTENTS

HOME  |   JOURNAL  |   PERSONAL HEALTH  |   RESOURCE CENTER  |   CME  |   ADVERTISER SERVICES  |   ABOUT US  |   SEARCH