A 55-year-old man presents with a painful, swollen, and bruised right shoulder following a cycling accident. He is unable to lift his arm. What is likely the issue, and what are the next steps?
This patient's symptoms suggest a shoulder injury, possibly a fracture or dislocation. An X-ray of the shoulder should be ordered to confirm the diagnosis. If a fracture or dislocation is confirmed, he may require immobilization, physiotherapy, or possibly surgery.