Sudden pain with immediate loss of active elevation
Time-sensitive ortho referral triggers
Young or highly active patient with suspected full-thickness tear
Pseudoparalysis with preserved passive range of motion
Documentation essentials
High-yield documentation set
Mechanism and time of injury
Fall, traction, direct blow, dislocation event
Baseline function and dominance
Work and sport demands
Neurovascular exam before and after any reduction
Axillary nerve sensory over lateral deltoid
Deltoid contraction
Pain control response and range of motion pattern
Active limitation out of proportion to passive limitation
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