Accidents - Trampolines - 6-15 years old - Year 2009 - Shoulder

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Number Of Accidents (Estimate): 2,104
See also: Other years, Other age groups, Other products, Other body parts.

Accidents - Sex

Accidents - Race

National Electronic Injury Surveillance System Accidents Records

Date: 12/27/2009	Age: 12 years	Sex: Female	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
PT WITH CONTUSION TO RIGHT SHOULDER AFTER FALLING OFF TRAMPOLINE. DX CO NTUSION RIGHT SHOULDER
Disposition: Treated and released or examined and released without treatment

Date: 11/30/2009	Age: 12 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL JUMPING ON TRAMPOLINE/ FX RT CLAVICLE
Disposition: Treated and released or examined and released without treatment

Date: 11/20/2009	Age: 7 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Dislocation
Product: Trampolines
SUBLEXED STERNOCLAVICLE JOINT, PT FELL WHILE JUMPING ON TRAMPOLINE.
Disposition: Treated and released or examined and released without treatment

Date: 11/19/2009	Age: 12 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
PT SPRAIN SHOULDER WHEN PUSHED OFF TRAMPOLINE AT HOME.
Disposition: Treated and released or examined and released without treatment

Date: 11/12/2009	Age: 9 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
9 YO M WITH SHOULDER PAIN AFTER FALL FROM TRAMPOLINE AT HOME. DX:CLAVIC ULAR FX.
Disposition: Treated and released or examined and released without treatment

Date: 11/03/2009	Age: 12 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Other
Product: Trampolines
PT FELL ON SHOULDER WHILE JUMPING/ROLLING ON TRAMPOLINE, NOW W/SHOULDER AND SCAPULA PAIN; SHOULDER BLADE PAIN
Disposition: Treated and released or examined and released without treatment

Date: 10/17/2009	Age: 10 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
10 F WAS ADMITTED AFTER SHE FELL FROM A TRAMPOLINE AND INJURED HER SHOU LDER DX: L SHOULDER/ARM FX
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 10/17/2009	Age: 6 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
6 YO M JUMPING ON TRAMPOLINE AT HOME FELL OFF AND LANDED ON SHOULDER DX : FX
Disposition: Treated and released or examined and released without treatment

Date: 10/11/2009	Age: 7 years	Sex: Female	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
7 YO SUSTAINED CONTUSION TO SHOULDER WHEN FELL ON TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 10/06/2009	Age: 10 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FX SHOULDER FELL OFF TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 09/24/2009	Age: 10 years	Sex: Male	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL ON TRAMPOLINE;DX FRACTURED CLAVICLE
Disposition: Treated and released or examined and released without treatment

Date: 09/22/2009	Age: 9 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
SHOULDER PAIN SINCE JUMPING ON A TRAMPOLINE. DX. SHOULDER STRAIN.*
Disposition: Treated and released or examined and released without treatment

Date: 09/14/2009	Age: 7 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PT FELL OFF OF TRAMPOLINE. DX: L MID CLAVICLE FX.
Disposition: Treated and released or examined and released without treatment

Date: 09/11/2009	Age: 7 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Other
Product: Trampolines
DX L SH ARTHRALGIA/URI: ONSET L SH PN YTDY AFTER SHE W KICKED IN THE POSTERIOR SH BY FRIEND W SHE W DO'G CART WHEELS ON TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 08/30/2009	Age: 12 years	Sex: Female	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PT FELL WHILE JUMPING ON TRAMPOLINE AT BOUNCE U PARTY, RIGHT CLAVICLE FRACTURE
Disposition: Treated and released or examined and released without treatment

Date: 08/21/2009	Age: 12 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
FELL ONTO SHOULDER WHILE JUMPING ON TRAMPOLINE. DX SHOULDER CONTUSION
Disposition: Treated and released or examined and released without treatment

Date: 08/15/2009	Age: 6 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
WAS JUMPING ONTO TRAMPOLINE EARLIER THEN GOT DRAGGED BY A PUPPY&NOW WI TH SHOULDER PAIN>>MS
Disposition: Treated and released or examined and released without treatment

Date: 08/07/2009	Age: 10 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
STRAIN TRAPEZIUS MUSCLE - 10 YO FEMALE PRESENTS WITH RIGHT SHOULDER PAI N AFTER SETTING UP A TRAMPOLINE AT HOME
Disposition: Treated and released or examined and released without treatment

Date: 08/04/2009	Age: 15 years	Sex: Male	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Dislocation
Product: Trampolines
C/O SHOULDER PAIN, JUMPING ON A TRAMPOLINE. DX-DISLOCATED SHOULDER.
Disposition: Treated and released or examined and released without treatment

Date: 08/04/2009	Age: 10 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PATIENT JUMPING ON TRAMPOLINE, FELL OFF LANDING ON SHOULDER;CLAVICLE FX .
Disposition: Treated and released or examined and released without treatment

Date: 08/01/2009	Age: 15 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Laceration
Product: Trampolines
PT IN SHOULDER ON METAL OF TRAMPOLINE AT HOME DX// LEFT SHOULDER LAC
Disposition: Treated and released or examined and released without treatment

Date: 07/23/2009	Age: 7 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PT HURT SHOULDER WHEN FELL FROM THE TRAMPOLINE. D: FALL / FX LEFT CLA VICLE
Disposition: Treated and released or examined and released without treatment

Date: 07/16/2009	Age: 13 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
JUMPING ON TRAMPOLINE FELL AND LANDED ON FOOT ON THE GROUND, FELL FORWARD. DX-FX-CLAVICLE.
Disposition: Treated and released or examined and released without treatment

Date: 07/14/2009	Age: 8 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PATIENT JUMPING ON TRAMPOLINE, FELL OFF ON SHOULDER/ARM; SHOULDER FX.
Disposition: Treated and released or examined and released without treatment

Date: 06/30/2009	Age: 10 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
10 YO F CONTUSION TO SHOUULDER JUMPING ON TRAMPOLINE WHEN FRIEND FELL ON HER*
Disposition: Treated and released or examined and released without treatment

Date: 06/14/2009	Age: 7 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL OFF TRAMPOLINE. DX. FX. CLAVICLE. *
Disposition: Treated and released or examined and released without treatment

Date: 06/14/2009	Age: 6 years	Sex: Male	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
PT FELL ON TRAMPOLINE. DX: L SHOULDER STRAIN.
Disposition: Treated and released or examined and released without treatment

Date: 06/10/2009	Age: 9 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
PT.INJ.RT.SHOULDER AT HOME WHEN JUMPING ON TRAMPOLINE & FELL AGAINST METAL FRAME. DX; CONTUSION RT.SHOULDER.
Disposition: Treated and released or examined and released without treatment

Date: 05/30/2009	Age: 10 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
LEFT SHOULDER CONTUSION.PT WAS ON A TRAMPOLINE AND FELL OFF.
Disposition: Treated and released or examined and released without treatment

Date: 05/27/2009	Age: 8 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
PT WAS JUMPING ON A TRAMPOLINE AND FELL OFF 3 DAYS AGO. STRUCK HER R SH OULDER. DX R SHOULDER CONTUSION
Disposition: Treated and released or examined and released without treatment

Date: 05/26/2009	Age: 10 years	Sex: Male	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
STRAINED SHOULDER WHEN JUMPING ON TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 05/19/2009	Age: 8 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
FELL ON TRAMPOLINE YESTERDAY AT HOME RIGHT SHOULDER STRAIN *
Disposition: Treated and released or examined and released without treatment

Date: 05/17/2009	Age: 8 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
R SHOULD CONT/8YOM AT HOME HURT SHOULDER WHILE ON TRAMPOLINE. PT STS SI STER HIT PT'S SHOULDER WITH KNEE.
Disposition: Treated and released or examined and released without treatment

Date: 05/13/2009	Age: 12 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
JUMPING ON TRAMPOLINE, FELL INJURING RT SHOULDER. DX: SPRAIN RT SHOULD ER
Disposition: Treated and released or examined and released without treatment

Date: 05/12/2009	Age: 14 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Dislocation
Product: Trampolines
COMING DOWN FROM THE TRAMPOLINE, AT HOME, & FELL WHILE STILL HOLDING ON TO THE POLE- SHOULDER PAIN. DX; RT SHOULDER DISLOCATION
Disposition: Treated and released or examined and released without treatment

Date: 05/09/2009	Age: 14 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
JUMPING ON TRAMPOLINE, LANDED ON LT SHOULDER. DX: LT SCAPULA STRAIN
Disposition: Treated and released or examined and released without treatment

Date: 05/09/2009	Age: 10 years	Sex: Female	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL ON TRAMPOLINE;DX FRACTURED CLAVICLE
Disposition: Treated and released or examined and released without treatment

Date: 05/08/2009	Age: 12 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
PT SUSTAINED A CONTUSION OF A SHOULDER BY FALLING FROM A TRAMPOLINE AT A FRIEND'S HOUSE.
Disposition: Treated and released or examined and released without treatment

Date: 05/08/2009	Age: 11 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PT FELL OFF TRAMPOLINE AT HOME AND INJURED SHOULDER DX// LEFT SHOULDER FX
Disposition: Treated and released or examined and released without treatment

Date: 05/04/2009	Age: 7 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
DX HEAL'G R CLAVICLE FX: P/W 3MO H/O POST-R SH INJ C/O A 3D H/O OF PROX CLAVICLE MALFORMATION. HURT PLAY'G ON TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 05/01/2009	Age: 11 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PARTNER LANDED ON SHOULDER WHILE ON TRAMPOLINE. GREENSTICK FX CLAVICLE , FIRST DEGREE SEPARATION SHOULDER.
Disposition: Treated and released or examined and released without treatment

Date: 04/21/2009	Age: 12 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PT INJURED COLLARBONE WHILE JUMPING ON A TRAMPOLINE DX;; (L) CLAVICL E FX
Disposition: Treated and released or examined and released without treatment

Date: 04/20/2009	Age: 10 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Dislocation
Product: Trampolines
PATIENT HURT WHEN FELL ON TRAMPOLINE AT HOME DX: LT SHOULDER DISLOCATION
Disposition: Treated and released or examined and released without treatment

Date: 04/19/2009	Age: 13 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
DX CONTU R SH/POSS TRAUMATIC BURSITIS/CANNOT R/O ROTATOR CUFF INJ: DID FWD FLIP OFF TRAMPOLINE YTDY LAND'G ON THE LAT ASPECT OF R SH
Disposition: Treated and released or examined and released without treatment

Date: 04/19/2009	Age: 11 years	Sex: Male	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
FELL OFF TRAMPOLINE & SOMEONE LANDED ON SHOULDER. CONTUSION SCAPULA,.
Disposition: Treated and released or examined and released without treatment

Date: 04/14/2009	Age: 7 years	Sex: Male	Race: Other
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL ON TRAMPOLINE;DX FRACTURED CLAVICLE
Disposition: Treated and released or examined and released without treatment

Date: 04/09/2009	Age: 10 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
JUMPING ONTO TRAMPOLINE FELL OFF, ?HEIGHT, LANDING ONTO SHOULDER >>MS
Disposition: Treated and released or examined and released without treatment

Date: 03/23/2009	Age: 7 years	Sex: Male	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
PATIENT PLAYING ON TRAMPOLINE, BROTHER LANDED ON HIS SHOULDER YESTE RDAY, WON'T MOVE ARM; CLAVICLE FX.
Disposition: Treated and released or examined and released without treatment

Date: 03/19/2009	Age: 12 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
PT FELL OFF TRAMPOLINE LANDING ON SHOULDER DX RT SHOULDER SPRAIN
Disposition: Treated and released or examined and released without treatment

Date: 03/19/2009	Age: 8 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL OFF TRAMPOLINE, HURT L SHOULDER. ACUTE L CLAVICLE FX.
Disposition: Treated and released or examined and released without treatment

Date: 03/08/2009	Age: 13 years	Sex: Male	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
13 YOM WAS JUMPING ON TRAMPOLINE AND INJURED SHOULDER FRACTURE SHOULDER
Disposition: Treated and released or examined and released without treatment

Date: 03/07/2009	Age: 8 years	Sex: Male	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
PT FELL FROM TRAMPOLINE, HURT SHOULDER. D: CONTUSION LEFT SHOULDER
Disposition: Treated and released or examined and released without treatment

Date: 02/28/2009	Age: 13 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Dislocation
Product: Trampolines
D'LOC SHLDR- FELL TRAMPOLINE
Disposition: Treated and released or examined and released without treatment

Date: 02/19/2009	Age: 12 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
RIGHT SHOULDER INJURY; PT FELL OFF TRAMPOLINE. D: MUSCLE PAIN
Disposition: Treated and released or examined and released without treatment

Date: 02/15/2009	Age: 11 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
INJURED ON TRAMPOLINE AT GRANDMOTHERS LT SHOULDER CONTUSION *
Disposition: Treated and released or examined and released without treatment

Date: 02/09/2009	Age: 13 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Contusion Or Abrasion
Product: Trampolines
JUMPING ON TRAMPOLINE STRUCK SHOULDER ON METAL RIM. DX CONTUSION R SHOULDER AND NECK
Disposition: Treated and released or examined and released without treatment

Date: 01/16/2009	Age: 12 years	Sex: Female	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL OFF TRAMPOLINE DX: R CLAVICLE FX
Disposition: Treated and released or examined and released without treatment

Date: 01/12/2009	Age: 10 years	Sex: Male	Race: Black/African American
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Other
Product: Trampolines
1-2 WEEKS AGP PT WAS JUMPING ON THE TRAMPOLINE HAS BEEN C/O PAIN TO SHOULDERS AND ELBOW. DX RIGHT SHOULDER PAIN / ELBOW.
Disposition: Treated and released or examined and released without treatment

Date: 01/10/2009	Age: 9 years	Sex: Female	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Fracture
Product: Trampolines
FELL WHEN JUMPING ON TRAMPOLINE;DX FRACTURED SHOULDER
Disposition: Treated and released or examined and released without treatment

Date: 01/03/2009	Age: 8 years	Sex: Male	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Trampolines
L SHOULDER PAIN, HURT JUMPING ON TRAMPOLINE DX: SHOULDER STRAIN
Disposition: Treated and released or examined and released without treatment

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