
A 25-year-old male lawyer presents to the clinic with painful clicking in the front of the neck. The onset of symptoms was six months ago after he fell off his bicycle in a road traffic accident. At the time he was treated in hospital for a fractured ankle and other soft tissue bruising. Gradually he has noticed a painful clicking and clunking around the medial end of the clavicle. This is now causing him pain when lying on his back at night along with having a dull aching throb constantly during the day. He is unable to do press-ups or lift weights in the gym.
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