Lab Studies:
None

Other Studies:
MRI of the left elbow showed multi-structural injury including complete tear of the common flexor tendon <a href="CaseStudyImages/CS1FightNightontheIc-989.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , tear of the ulnar collateral ligament complex with essentially complete tearing of the lateral radial collateral ligament (LRCL) and lateral ulnar collateral ligament (LUCL) <a href="CaseStudyImages/CS1FightNightontheIc-989.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , complete radial collateral ligament tear <a href="CaseStudyImages/CS2CS1FightNightonth-989.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , and persistent posterior lateral subluxation of the radius and ulna relative to the humerus <a href="CaseStudyImages/CS3CS2CS1FightNighto-989.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> . There was also partial dislocation of the ulnar nerve from the cubital tunnel. No coronoid or radial head fracture was noted. <br> <br>This constellation of findings was consistent with acute elbow dislocation and persistent posterior subluxation of the radial head. <br> <br>Photo 1: Coronal T2 fat saturated image showed a complete tear of the common flexor tendon (thick arrow) with irregular, slightly retracted appearance of the tendon fibers. Additionally, there was a complete tear of the proximal ulnar collateral ligament near the humeral attachment (thin arrow). <a href="CaseStudyImages/CS1FightNightontheIc-989.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br> <br>Photo 2: Coronal T2 fat saturated image showed separation of the proximal attachment of the radial collateral ligament from the humerus (arrow). <a href="CaseStudyImages/CS2CS1FightNightonth-989.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>Photo 3: Sagittal T2 fat saturated image showed posterior subluxation of the radial head relative to the capitellum with increased T2 signal in the posterior capitellum (arrow) consistent with bone contusion. <a href="CaseStudyImages/CS3CS2CS1FightNighto-989.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a>

Consultations:
Orthopedic Surgery was consulted and Physical Therapy referral was placed post-operatively.

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