An Interesting Presentation Of Elbow Pain In College Baseball Player

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An Interesting Presentation Of Elbow Pain In College Baseball Player - Page #1

Author: Thomas Grove, DO Co Author #1: David Tietze, MD Senior Editor: Siobhan Statuta, MD, FAMSSM Editor: Brian Harvey, DO Patient Presentation: The patient presented with one day history of acute onset right elbow pain after feeling a pop in his elbow while warming up throwing at baseball practice. History: The patient is an active 18 year old right handed college baseball catcher with a history of untreated right little league elbow since the seventh grade. He presented with a one day history of acute onset right elbow pain after feeling a pop in his elbow while warming up at baseball practice. The pain is described as a constant, dull pain at a level of 4/10 intensity at rest. The pain is localized to the medial aspect of the right elbow. It is exacerbated with throwing a baseball which limits his throwing velocity and accuracy. Physical Exam: On physical exam the patient's right elbow had no abnormal findings upon inspection and there was no focal tenderness to palpation. The right elbow had active flexion of 115 degrees, active extension of positive 5 degrees, active pronation and supination of 90 degrees. Muscle strength testing to the upper extremity was normal (5/5) including elbow flexion, extension, pronation, and supination. The distal radial pulse was 2+ with normal sensation to the entire upper extremity. Tinel and posterior impingement signs were negative. There was no laxity with valgus stress at 0 and 30 degrees of elbow flexion. The milking maneuver test was positive for reproducing pain. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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