AMSSM Home
AMSSM On FaceBook AMSSM On Twitter AMSSM On Linkedin
 

The Plyo Pop: An Adolescent Arm Injury During Plyometric Push-ups - Page #1
 

Author: McKenna Campbell-Potter, MD
Co Author #1: Samantha Smith, MD, CAQSM
Senior Editor: Drew Duerson, MD
Editor: Chelsea Cole, MD

Patient Presentation:
A healthy 16-year-old right-hand dominant male presented to the sports medicine clinic with left upper arm pain.

History:
Two weeks prior, he felt a popping sensation in the left arm while performing plyometric push-ups with hand claps. He initially had no pain, but was unable to finish the workout due to weakness. Over the next two days, he developed left upper arm pain and a large ecchymosis in biceps muscle region. The use of non-steroidal anti-inflammatory medication provided moderate pain relief during the day but pain at night was interfering with his sleep. He had no deformity, sensory changes, or paresthesias in the left arm or hand. He was taking creatine; no other medications or anabolic steroid use.

Physical Exam:
Physical Exam:
General: Well appearing, no acute distress.
Musculoskeletal:
Left upper arm and shoulder:
Inspection: ecchymosis along the anterior aspect of the left upper arm. No deformity in the biceps or pectoralis major territories.
Palpation: tenderness to palpation of the anterior shoulder to the level of the proximal biceps. No tenderness at the pectoralis major muscle belly or tendon at the anterior axillary fold.
ROM: normal
Strength: 4/5 strength with abduction, external rotation, and internal rotation.
Special tests: positive painful arc, empty can, Speed's, active compression. Pain and weakness with belly press.
Neurovascular: intact

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS


_________________________________
APRIL 2025
4/22-4/25/2025
2025 AMSSM Annual Meeting

_________________________________
JULY 2025
7/17-7/20/2025
2025 Fellows Research & Leadership Conference

_________________________________

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.

Choose Search Type

Zip Code: 

 Choose Search Radius: 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek