Evaluation Of An Elbow Injury In A Division I Wrestler With Growth Hormone Deficiency

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Evaluation Of An Elbow Injury In A Division I Wrestler With Growth Hormone Deficiency - Page #3

Lab Studies: No lab studies were obtained. Other Studies: X-ray Elbow: The medial humeral epicondyle physis was not fused <a href="CaseStudyImages/CS1EvaluationofanElb-1173.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . There was a small well-corticated ossification adjacent to the ulna. <br>MRI Elbow: There was a complete tear of the distal anterior band ulnar collateral ligament. There were findings compatible with medial humeral epicondyle apophysitis <a href="CaseStudyImages/CS2CS1Evaluationofan-1173.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> . There was a chronic small avulsion fracture of the sublime tubercle. There were mild edematous changes about the ulnar nerve within the cubital tunnel. <br> <br>Ultrasound Elbow: Tear of the anterior band of the left ulnar collateral ligament with abnormal laxity on valgus stress. The joint space gaps an average of 2.5 mm with valgus stress. A representative portion of the dynamic ultrasound here showed an abnormal gapping of 2.76 mm between the trochlea and coronoid process when comparing the neutral position <a href="CaseStudyImages/CS3CS2CS1Evaluationo-1173.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> to the valgus stress position <a href="CaseStudyImages/CS4CS3CS2CS1Evaluati-1173.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> . There was no gapping on the contralateral side. Consultations: Orthopedic Surgery was consulted for consideration of operative evaluation of the UCL tear. During the evaluation he had minimal pain and instability and was deemed a candidate for UCL reconstruction or nonoperative management. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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