A 56-year-old male presented with difficulty in lifting left upper limb of 3 years duration. At the onset, there was neck pain radiating to left upper limb associated with numbness and paraesthesias over shoulder. Weakness progressively increased with inability to lift left shoulder over 3 months. He had history of blunt injury to neck and chest, 20 and 4 years back. No other relevant history could be elicited. On examination, he had a limp proximal left upper limb with shoulder droop and left shoulder joint was not palpable. Power at left shoulder was 2/5, elbow flexors 4/5 and wrist 5/5.
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