Persistent Elbow Pain In A Softball Pitcher - Page #1
 

Author: Michael Tavernaris, MD, MS
Co Author #1: Michael M. Linder, MD
Co Author #2: Karla Beasley, ATC
Editor: Wade Rankin, DO

Patient Presentation:
Patient is a 18 year old female softball player who presents with right elbow pain. No specific injury reported.

History:
Pain is described as sharp and is especially intense during and after practice. Her symptoms began approximately 1 year ago and were associated with pitching during softball. She is right handed and reports no clicks, pops, or other mechanical symptoms.

Physical Exam:
General: Well developed, no acute distress, A&Ox3
HEENT: PERRL, EOMI, MMM
CVS: +S1S2, no murmurs/rubs/gallops
Respiratory: CTA B/L, equal expansion, no wheezing
Abdomen: SNT/ND +BS x4
Extremities: No edema appreciated, 2+ pulses B/L
Neuro: CNs 2-12 grossly intact bilaterally, normal gait
MSK: FROM x 4 limbs
Right Elbow: TTP over ulnar coronoid process
Mild pain with resisted full flexion
(-) Valgus/Varus Stress Testing
(-) lateral pivot shift; (-) posterolateral or other instability

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NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

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