Bruises and deformity

A 61-year-old man who suffered an injury to his right arm two days ago arrives with bruises and deformity. The patient reports having experienced a right shoulder ache for three to four months when lifting and pulling objects. Two days ago, he was lifting a weight off the floor when he felt a sudden pop in his shoulder. The patient described severe pain at the site of the injury, followed by bruising and biceps muscle deformation (Figures 1 and 2).