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Rotator cuff-related shoulder pain — MRCGP AKT MCQ

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EasyShoulder InjuriesRotator cuff-related shoulder painMRCGP AKT

A 44-year-old swimmer develops lateral shoulder pain and night discomfort after increasing training volume. Active abduction is painful, external rotation strength is reduced, and passive range is preserved. What is the most likely diagnosis?

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Correct answer: A — Rotator cuff-related shoulder pain

Painful active elevation with preserved passive movement suggests rotator cuff-related shoulder pain. Night pain and weakness can occur with cuff tendinopathy or tear. Adhesive capsulitis would usually restrict passive external rotation substantially.

Reference: NICE CKS shoulder pain; BJSM