title: Shoulder Internal Derangement and Osteoarthritis in a 25-Year-Old Female Softball Athlete.
abstract: OBJECTIVE
  The purpose of this report is to describe osteoarthritis and internal derangement of the shoulder in a collegiate softball player.
  
  
  METHODS
  A 25-year-old female softball athlete presented with a history of chronic right shoulder pain. A thorough clinical examination and multiple imaging studies were performed. Osteoarthritis was demonstrated on radiographs, and ligamentous and rotator cuff tendon tears were displayed on magnetic resonance imaging. The patient's treatment plan included full spine manipulation, cold laser therapy, kinesiotaping, stretching, and neuromuscular reeducation of the right shoulder.
  
  
  RESULTS
  The patient reported a decrease in symptoms after 1 month, although treatment was sporadic because of poor patient compliance.
  
  
  CONCLUSIONS
  Osteoarthritis and internal derangement may occur in overhead-throwing athletes, and correct imaging is needed for timely and accurate diagnoses. Following a timely diagnosis, the young patient in this case had a good recovery with multimodal chiropractic care.
authors.affiliation: Radiology Resident, Department of Radiology, Logan University, Chesterfield, MO.
authors.forename: Stacey M
authors.initials: SM
authors.lastname: Cornelson
authors.affiliation: Clinician-Associate Professor, Clinical Science, Logan University, Chesterfield, MO.
authors.forename: William
authors.initials: W
authors.lastname: Hogarth
authors.affiliation: Chiropractic Student, Logan University, Chesterfield, MO.
authors.forename: Daniel L
authors.initials: DL
authors.lastname: Ault
authors.affiliation: Chair, Department of Radiology, Logan University, Chesterfield, MO.
authors.forename: Norman W
authors.initials: NW
authors.lastname: Kettner
keywords: Athletes; Chiropractic; Diagnostic imaging; Osteoarthritis; Rotator cuff