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James B. Talmage
,
Robert B. Snyder
, and
J. Willis Oglesby
Introduction For many patients, employers, insurance adjusters, case managers, attorneys, physicians performing independent medical examinations or utilization reviews, and workers' compensation judges, shoulder injuries can be puzzling. Why do doctors suspect one injury, perform magnetic resonance imaging (MRI), change the diagnosis, and then operate on three or four issues, when the “injury” occurred doing a task the worker has done daily before with no problem (low-violence “injury”), suggesting that, at most, just one injury may be present? A 2021