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Acute Arm Pain After Tire Flipping - Page #1
 

Author: Adills Moosa, DO., MPH
Senior Editor: Christian Fulmer, DO, FAMSSM
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 <a href="CaseStudyImages/CS1ACaseofAcuteDista-811.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , mild swelling along the proximal anterior section of the left forearm, no bruising or hematoma. <br> <br>Palpation: tenderness along the left antecubital fossa. <br> <br>Range of motion: posterior radial head dysfunction on the left and slightly limited active range of motion in flexion/abduction of the left shoulder. <br> <br>Neurologic: 4+/5 strength in elbow flexion and forearm supination. <br> <br>Special tests: Hook test positive, Biceps Squeeze test failed to elicit forearm supination.

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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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