Nonoperative Treatment of a Patient With Shoulder Pain and a History of Sternoclavicular Fracture-Dislocation

A 59-year-old male was referred to physical therapy due to shoulder pain. Computed axial tomography reveled a previous sternoclavicular injury, consistent with fracture-dislocation. This report describes the rehabilitation process of the patient with shoulder pain and a history of sternoclavicular joint fracture-dislocation. Thoracic mobility exercises, glenohumeral mobilizations, muscle strengthening, neuromuscular reeducation, and pain science education were used. The patient exhibited improvement in regard to pain, mobility, muscle strength, and self-reported questionnaires.

Mixed Mediastinal Germ Cell Tumor: A Case Report

Germ cell tumors constitute a heterogeneous group of neoplasms derived from primitive germ cells, arising as a consequence of an embryogenic error. A clinical case of a 16-year-old white male patient, with no previous pathological history or toxic habits, who was admitted to the internal medicine room for presenting a clinical picture of asthenia and anorexia was added, to whom light fever was added in evening schedule. Several examinations were performed, including: Immunohistochemistry, biopsy, Computed Axial Tomography, X-ray of the chest and Mixed germ cell tumor of Mediastinum was diagnosed. Chemotherapy was started. The prognosis of the disease depends on the precociousness with which the diagnosis and treatment are made.