1. A Case Study Presented By: Whitney Wiles, ATC

2.  Athlete  15 year old male  Football Player ▪ Linebacker  No history of neck problems  No history of “Stingers”  Mechanism of Injury  Direct hit to Anterior Shoulder.

3.  Signs and Symptoms  Pain  Numbness  Tingling  Swelling into hand  Discoloration of fingers  Initial Treatment  Ice  Elevation of Hand  Check Pulses  Check Distal Neurovascular Response (Nail bed refill)

4.  Symptoms did not resolve with initial treatment  Referred to SHIFT- Patewood per Dr. Wyland.  SHIFT  X-ray ▪ Shoulder ▪ Hand  Referred to Dr. Baird for follow-up the next day at Steadman Hawkins- Spartanburg.

5.  SHCC-Spartanburg  Findings ▪ Improving parathesis and shoulder pain ▪ Dx: Stinger with Contusion  X-Ray ▪ Shoulder ▪ Cervical Spine  Plan ▪ No contact until all symptoms have resolved ▪ Refer for MRI if still symptomatic in a week.  Conclusion  Athlete was asymptomatic at follow up appointment.  Athlete missed approximately one week of participation.