Acute Arm Pain After Tire Flipping

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Acute Arm Pain After Tire Flipping - Page #1

Author: Adills Moosa, DO., MPH Senior Editor: Christian Fulmer, DO Editor: Marisa Jayakar, MD Patient Presentation: Acute Left arm pain. History: We present a case of a left hand dominant 44-year-old Caucasian male who presented to clinic for a two-day history of left arm pain. He reported a 25 pack-year history of cigarette smoking and was attempting to flip a “350-pound tire” during a session of CrossFit, when he felt the immediate onset of burning pain and weakness of the left elbow and forearm. On the date of injury, he presented to a local emergency department where he was diagnosed with a “mild muscle strain” and discharged home with ibuprofen. Physical Exam: Inspection: loss of the normal biceps muscle contour with a “reverse Popeye” deformity Case Photo #1 , mild swelling along the proximal anterior section of the left forearm, no bruising or hematoma. Palpation: tenderness along the left antecubital fossa. Range of motion: posterior radial head dysfunction on the left and slightly limited active range of motion in flexion/abduction of the left shoulder. Neurologic: 4+/5 strength in elbow flexion and forearm supination. Special tests: Hook test positive, Biceps Squeeze test failed to elicit forearm supination. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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