The history of falling on outstretched arms may have overloaded his elbow extensors. Myofascial pain syndrome. A common disorder which is highlighted by diffuse, regional muscular pain and disordered sleep patterns. Shoulder instability from a labral tear. A fall on an outstretched arm may have caused a labral tear.
Patients typically present with deep shoulder pain.
They also tend to complain of feeling that their shoulder is grinding or is coming out of the socket. Shoulder instability can be described as anterior or posterior instability. Anterior instability may be the result of a traumatic dislocation or subluxation. It can also occur as the gradual result of repeated stressing of the static shoulder constraints. The most common type of posterior instability is from multidirectional instability.