Shoulder Pain After Falling from a Tree

A 57-year-old man climbs a tree in his yard to trim branches, and then falls to the ground and onto his shoulder. In presenting to his local urgent care center, he reports that he has pain over his right shoulder and scapula area that is sharp and worsens when he moves through the range of motion. He says that he took 600 mg of ibuprofen after he was injured but that his pain did not decrease. He reports that he has no head injury, head or neck pain, elbow or wrist pain, chest pain, numbness, or shortness of breath.

View the image taken (Figure 1) and consider what your diagnosis would be.