Is Playing Handball Hard On The Hands? A Goalie's Unique Injury

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Is Playing Handball Hard On The Hands? A Goalie's Unique Injury - Page #1

Author: Peter Martin, BS Co Author #1: Rebecca Lynn Peebles, DO Co Author #2: Tracy O. Middleton, DO Senior Editor: James Robinson, MD Editor: Marc Hilgers, MD, PhD, FAMSSM Patient Presentation: The patient is a 32 year-old male handball goalie who presents to the sports medicine clinic with a two week history of right thumb pain after a hyperextension injury suffered while blocking a shot. History: The patient reports that two weeks prior, he suffered a hyperextension injury of his right thumb while blocking a shot during a handball game. He stated experiencing immediate, severe pain and limited range of motion of his thumb, yet it has been improving slightly. He endorses weakness with grip strength, but no paresthesia. His hand was splinted by his primary care provider with a thumb spica splint prior to his visit to the sports medicine clinic. Physical Exam: Upon physical exam, he displayed mild edema at the right first metacarpophalangeal joint only, without ecchymosis. He is tender to palpation near the first metacarpophalangeal joint, specifically over both radial and ulnar sesamoids, with the radial being more the more tender sesamoid. Furthermore, he has painful yet full active thumb flexion and abduction. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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