Elbow Pain In A Gymnast

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Elbow Pain In A Gymnast - Page #1

Author: Mary Solomon, DO Co Author #1: Susannah M Briskin MD Co Author #2: Amanda K Weiss Kelly MD Co Author #3: Louis Leone DO Patient Presentation: A 10 year old female gymnast with right elbow pain History: The patient, a level 8 female gymnast, reports feeling a pop in her right elbow during a back handspring 3 months ago. She has had intermittent pain over her anterior elbow ever since her injury. She reports overall improvement with rest, but her symptoms recurred 2 weeks ago when she hyper-extended her right elbow during another back handspring. Her pain has since worsened. She is using ice and taking ibuprofen as needed. She denies any significant past medical or family history. She is pre-menarchal. Physical Exam: Physical Exam <br> Well appearing, thin, and muscular <br> female <br>Vital signs <br> Ht:140.5 cm, Wt:32.3 kg, BMI:16.4 <br>Inspection / Palpation <br> Right elbow tender to palpation along <br> anterior joint line <br> Mild tenderness at the medial <br> epicondyle, radiocapitellar joint, <br> and posterior capitellum <br> No erythema, ecchymosis, or swelling <br>Range of Motion <br> Bilateral flexion to 150Âº <br> Bilateral hyperextension of 8Âº <br> Supination and pronation full & equal <br>Strength <br> Bilateral 5/5 in flexors, extensors, <br> supinators, and pronators <br>Provacative Maneuvers <br> Valgus and varus stress tests <br> negative <br> Milking maneuver negative <br> Valgus overload extension negative <br>Neurovascular <br> Normal Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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