Your Patient Sustained a Traumatic Injury to His Shoulder 3

Multiple Choice

Your patient sustained a traumatic injury to his shoulder 3 weeks ago.You have been treating him because of decreased shoulder ROM and strength and general lack of functional reaching and overhead use of the upper extremity.Today he reports that he has been experiencing increased pain, swelling, and stiffness of his hand.What can you conclude?

A) These signs are the result of a thoracic outlet syndrome (TOS) ; begin treating this region as well.
B) The patient is possibly developing complex regional pain syndrome (CRPS) ; treatment should be initiated to reduce swelling, maintain range, and increase use of the hand.
C) These signs are a normal reaction to trauma; it is important to tell the patient he is engaging in too much activity.
D) These are signs of a possible clot; immediately send him to the emergency room.