Arm Pain, Weakness, and Bruising in an 82-Year-Old Homemaker
May 04, 2009
An 82-year-old right-handed woman, a homemaker, was evaluated for mild left upper arm pain, weakness, and bruising that had lasted for 4 days. Although she reported no previous history of rotator cuff injury or trauma per se, she did recall a sensation of "giving way" in the left upper arm while manually rolling up the driver's-side window in her car at the time of the initial event. Several hours later, a significant bruise appeared that extended from the middle of her upper arm toward the elbow, along with a mid-arm bulge that was more prominent with flexion. She denied having experienced an initial audible "pop," local corticosteroid injection, use of anticoagulants, or long-term fluoroquinolone treatment.