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After the accident, the patient arrived at the emergency department in severe pain, unable to move his arm. The medical team quickly assessed him, gave pain relief, and sent him for X-rays. The results showed a fracture of the lateral border of his scapula. The doctor suspected nerve damage after noticing the patient couldn't rotate or adduct his arm. A physical exam confirmed weakness, likely from an injured lower subscapular nerve. The treatment plan involved immobilizing the shoulder with a sling and prescribing physical therapy for later recovery. Before discharge, the patient received pain meds, instructions for care, and a follow-up with orthopedics. The healing process had begun. #USMLE #USMLEPrep #FutureMD #MedStudentLife #MedSchoolJourney #Step1Study #Step2CK #Step3Prep #USMLESuccess #StudyMedicine