Spikeball Palsy - Page #1
 

Author: George Liras, DO, MS
Co Author #1: Sarah Abdellatif, DO
Co Author #2: Jocelyn Szeto, MD
Co Author #3: Rehal Bhojani, MD
Senior Editor: Joseph Chorley, MD
Editor: Justin Mark Young, MD

Patient Presentation:
An 18-year-old right hand dominant male with no significant past medical history presented to the clinic for evaluation of right upper back and chest wall pain after an injury.

History:
The initial injury was 2 weeks prior to the office visit. The patient reported a popping sensation followed by a sharp pain in the upper back area while overhand spiking a ball during Spikeball. The pain radiated around the rib cage and into the upper chest. Pain was exacerbated by coughing, sneezing, and deep breathing. Patient tried over-the-counter NSAIDs as well as rehabilitation program by his school's athletic trainer for trapezius strain without relief. Patient also noted a drop of his shoulder and difficulty moving his arm.

Physical Exam:
Physical examination revealed right scapular winging and shoulder drop with tenderness over the pectoralis major, latissimus dorsi, right trapezius , right rhomboid, and thoracic paraspinal muscles. Right triceps strength was 4/5 along with weakness on shoulder shrug. Spurling's test was negative bilaterally. Drop arm sign was positive on the right. The patient's strength was 5/5 for supraspinatus, infraspinatus, subscapularis, Biceps and Deltoid bilaterally. No atrophy, prominent AC joint, prominent SC joint were appreciated.

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

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4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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