She strongly denies recent trauma. The orthopedic specialist evaluated the woman and diagnosed a cervicobrachial neuralgia. After the administration of 1g of paracetamol the pain disappears and the patient has been discharged with the suggestion of taking NSAIDs. After 24 hours, patients return to the ER of Scandiano, complaining again pain in the right shoulder with pain irradiation also in the right lumbar region. She was still apyretic.