Medial Ulnar Collateral Ligament Injury Pathway Posted: 1/23/2022 ID: (C101948) 2022 Baseball Winter Meeting

Medial Ulnar Collateral Ligament Avulsion in 16M

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CASE DESCRIPTION

AGE	16 / Male
CC	Medial elbow pain
HPI	A 16-year-old high school, RHD, wrestler presents with right elbow pain following a takedown during a competition where he attempted to break his fall with this outstretched right hand. He felt a pop and instant pain and was unable to continue the match following this. The pain in the elbow has improved but he still has significant feelings of apprehension with the elbow.
PMH	Denies any elbow issues prior to this injury. Clavicle fracture was successfully treated non-operatively at age 13.
PE	Patient is 6'2 and 208 lbs. The elbow shows full and symmetric motion compared to the contralateral side. Point tenderness over the sublime tubercle with positive moving valgus and milking maneuver. No tenderness over the flexor-pronator tendon and no pain with resisted wrist flexion. Negative tinels over the ulnar nerve and it does not subluxate. No tenderness at the radiocapitellar joint.

AGE/GENDER:

16 / Male

CHIEF COMPLAINT:

Medial elbow pain

HISTORY OF PRESENT ILLNESS:

A 16-year-old high school, RHD, wrestler presents with right elbow pain following a takedown during a competition where he attempted to break his fall with this outstretched right hand. He felt a pop and instant pain and was unable to continue the match following this. The pain in the elbow has improved but he still has significant feelings of apprehension with the elbow.

PAST MEDICAL HISTORY:	Denies any elbow issues prior to this injury. Clavicle fracture was successfully treated non-operatively at age 13.
PHYSICAL EXAM:	Patient is 6'2 and 208 lbs. The elbow shows full and symmetric motion compared to the contralateral side. Point tenderness over the sublime tubercle with positive moving valgus and milking maneuver. No tenderness over the flexor-pronator tendon and no pain with resisted wrist flexion. Negative tinels over the ulnar nerve and it does not subluxate. No tenderness at the radiocapitellar joint.
DIAGNOSIS:	Medial Ulnar Collateral Ligament Avulsion in 16M