Unusual Complication Of Elbow Dislocation In A Collegiate Football Player

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Unusual Complication Of Elbow Dislocation In A Collegiate Football Player - Page #1

Author: Marissa Meyer, DO Co Author #1: Sean Thuesen, DO Co Author #2: Christopher John, MD Co Author #3: Briana Beach, DO Senior Editor: Justin Mark Young, MD, FAMSSM Editor: Phillip Yun, MD Patient Presentation: An 18-year-old male collegiate football player with no significant past medical history presented to the orthopedic clinic 5 days after injuring his right elbow during football practice. History: He reported going for a pass when he fell onto his outstretched hand, which resulted in hyperextension of the elbow and a popping noise. The patient's athletic trainer confirmed there was a dislocation of the elbow and was able to successfully reduce it on the sideline. X-ray imaging in the emergency department confirmed the reduction. He was subsequently placed in a splint and sling with continued moderate level of pain worsened by movement. Physical Exam: At the time of evaluation in the orthopedic office, the patient had moderate tenderness and swelling over the medial and posterior aspect of the right elbow. On range of motion, he had 20-100 degrees of elbow flexion and extension, 30 degrees of supination, and 45 degrees of pronation. Valgus stress test was positive with pain over the medial aspect of the joint. The patient was neurovascularly intact. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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