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Thumbs Up or Down on Shoulder Pain?

Thumbs Up or Down on Shoulder Pain?

Pain is often severe in patients with adhesive capsulitis, or frozen shoulder, and motion is restricted. Distinguishing between frozen shoulder and osteoarthritis may be difficult. Internal rotation of the shoulder is measured by the highest vertebral level that the tip of the thumb may reach with the arm behind the back.

Normal range of motion is indicated if the thumb reaches which of the following?

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