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Previous Volume 361:74-79 July 2, 2009 Number 1 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.

A 31-year-old man presented to the emergency department with pain in the left shoulder. He had tripped over the shoulder strap of his backpack earlier in the day and noted immediate severe pain around his left shoulder, without paresthesias or neck pain. Physical examination revealed bony point tenderness over the humeral head and limited range of motion due to pain; crepitus was . . . [Full Text of this Article]

Commentary

Source Information

From the Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.

Address reprint requests to Dr. Katz at Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115, or at jkatz@partners.org.

Related Letters:

A Fragile Balance
Gallagher G. T., Bitton A., Katz J. T., Loscalzo J.
Extract | Full Text | PDF  
N Engl J Med 2009; 361:1611, Oct 15, 2009. Correspondence

This article has been cited by other articles:

• Gallagher, G. T., Bitton, A., Katz, J. T., Loscalzo, J. (2009). A Fragile Balance. NEJM 361: 1611-1611 [Full Text]