Persistent Elbow Pain In A Softball Pitcher

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Persistent Elbow Pain In A Softball Pitcher - Page #1

Author: Michael Tavernaris, MD, MS Co Author #1: Michael M. Linder, MD Co Author #2: Karla Beasley, ATC Patient Presentation: Patient is a 18 year old female softball player who presents with right elbow pain. No specific injury reported. History: Pain is described as sharp and is especially intense during and after practice. Her symptoms began approximately 1 year ago and were associated with pitching during softball. She is right handed and reports no clicks, pops, or other mechanical symptoms. Physical Exam: General: Well developed, no acute distress, A&Ox3 <br>HEENT: PERRL, EOMI, MMM <br>CVS: +S1S2, no murmurs/rubs/gallops <br>Respiratory: CTA B/L, equal expansion, no wheezing <br>Abdomen: SNT/ND +BS x4 <br>Extremities: No edema appreciated, 2+ pulses B/L <br>Neuro: CNs 2-12 grossly intact bilaterally, normal gait <br>MSK: FROM x 4 limbs <br>Right Elbow: TTP over ulnar coronoid process <br>Mild pain with resisted full flexion <br>(-) Valgus/Varus Stress Testing <br>(-) lateral pivot shift; (-) posterolateral or other instability Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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