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A 17 year old youth presented complaining of vague chest and back pain. His medical history was unremarkable except for a sports injury three to four months previously. The injury occurred during wrestling when his opponent had fallen on his chest and neck region. On physical examination, we noted an asymmetric neckline on the right, the result of atrophy in the superior portion of the right trapezius muscle. Neck and bilateral shoulder movement, both passive and active, were not limited and were painless. There were no functional deformities such as winging scapula or drooping shoulder. No loss of motor function was detected in the right sternocleidomastoid muscle or during right shoulder elevation. Radiographic examination …