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Hand Ball, More Than Just A Penalty? - Page #1
 

Author: Richard Chen, MD
Co Author #1: Jason Krystofiak MD
Co Author #2: Jason Womack MD
Senior Editor: Joseph Chorley, MD
Editor: Natalie Stork, MD

Patient Presentation:
A 25 year-old, right hand dominant, National Women's Soccer League forward presented with acute onset of left wrist pain and swelling.

History:
The athlete's left wrist was struck on the dorsal aspect of the wrist by the ball during game-play. She was able to finish the game without difficulty. After the game, she noticed a sharp pain, as well as swelling, in her left wrist over the dorsal and radial aspect. Pain was worse with wrist extension and radial deviation. <br> <br>She denied prior wrist injuries or surgeries. She denied numbness, tingling, weakness, clicking, instability or deformity.

Physical Exam:
Left wrist: <br>Inspection: dorsal swelling without deformity <br>Palpation: tender to palpation over the mid-dorsal wrist and the radial styloid <br>Range of motion: full range-of-motion in all planes; pain reproduced with extension and radial deviation <br>Strength: 5/5 wrist flexion, extension, radial and ulnar deviation, pain with resisted extension and radial deviation; 5/5 forearm pronation and supination <br>Sensation: grossly intact in all left upper extremity dermatomes <br>Vascular: 2+ radial pulses; no cyanosis <br>Reflexes: 2+ brachioradialis <br>Special tests: (+)grind test, (+)shuck test

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.

NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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Phone: 913.327.1415


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