You're walking a younger resident through an ulnar nerve dec...

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A 17-year-old javelin thrower reports medial-sided elbow pain and diminished grip strength while throwing. He has decreased sensation in the little and ring fingers of his throwing hand only while throwing. The sensory deficits resolve at rest. Examination of the elbow reveals no instability and full motion. He has a positive Tinel’s sign over the cubital tunnel and a positive elbow flexion test. Radiographs are normal. What is the next most appropriate step in management?

A 44-year-old woman with cubital tunnel syndrome and associa...

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A 52-year-old male presents to the office with complaints of ulnar hand numbness for several months. He has failed a course of nonoperative management and wishes to proceed with in situ cubital tunnel release. Which of the following branches of the medial cord of the brachial plexus, as depicted in Figure A, represents the nerve at risk approximately 3cm distal to the medial epicondyle during this surgery?

A 36-year-old male presents to the clinic with a chief compl...

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A 32-year-old female complains of numbness and tingling in h...

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A 23-year-old female presents after falling down a flight of...

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A 35-year-old secretary from a small mid-Atlantic paper prod...

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A 55-year-old female presents with persistent right palm, th...

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A 55-year-old patient presents with numbness and pain in the...

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A 28-year-old male triathlete presents to your office for ev...

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A patient presents to your office with complaints of hand nu...

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A 43-year-old female presents to the office with complaints ...

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A 20-year-old collegiate baseball pitcher presents to your clinic with a 6-month history of elbow pain in his dominant throwing arm. He describes a progressive decrease in pitch velocity and control. Which of the following is a feature of valgus extension overload (VEO) syndrome?

A 55-year-old male laborer comes in with a chief complaint of clumsiness with his right hand for the past 3 months including difficulty using a hammer while at work. He has had no injury to the right upper extremity. On physical examination, he has persistent small finger abduction/extension with finger extension and active adduction. An EMG is performed and demonstrates ulnar nerve conduction velocities of 31 m/sec (normal >52m/sec). The patient symptoms are most accurately described as:

A 14-year-old gymnast presents to your clinic for a second o...

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A 35-year-old female presents to the clinic seeking a second opinion regarding her right-hand function after undergoing right cubital tunnel in situ release nine months prior. Since that time, she has been unable to extend her small, ring, and long fingers. Recent electrodiagnostic testing shows no motor or sensory deficits in the peripheral nerves of the right upper extremity. The patient is anxious and refuses any exam that involves direct manipulation of the small, ring, or long fingers secondary to pain. Which physical exam finding would most assist in the evaluation and diagnosis of this patient’s condition?

A 33-year-old male presents to your clinic with the concern ...

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A 20-year-old collegiate javeli...

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A 20-year-old collegiate javeli...

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A 51-year-old man complains of elbow pain and numbness into ...

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The physical exam finding demonstrated on the patient's right hand in the video (Figure V) is found with neuropathy of which of the following nerves?

A 50-year-old laborer presents with clumsiness of his hand. A clinical photo is shown in Figure A. On physical exam he is found to positive Froment sign, decreased cutaneous sensation over the ulnar border of his small finger and has a positive Tinel’s sign at the medial elbow. While undergoing elective surgery for this condition, the affected nerve is transected while attempting to excise the medial intermusular septum. Postoperatively, what limitation to his elbow function would you expect?

A 50-year-old laborer presents with clumsiness of his hand. A clinical photo is shown in Figure A. On physical exam he is found to positive Froment sign, decreased cutaneous sensation over the ulnar border of his small finger and has a positive Tinel’s sign at the medial elbow. While undergoing elective surgery for this condition, the affected nerve is transected while attempting to excise the medial intermusular septum. Postoperatively, what limitation to his elbow function would you expect?

A 56-year-old mechanic has had pain in the hypothenar region...

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A 26-year-old male construction worker presents with a six-m...

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A 36-year-old male jiu-jitsu practitioner presents to your c...

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A 50-year-old diabetic woman describes left arm pain and tingling in the ulnar side of her hand and wrist. She denies weakness or trouble with fine motor tasks. Her symptoms are worse when she is sleeping without a pillow on her left side, and with her left elbow in an extended position. Sleeping with her left hand above her head seems to improve her symptoms. What is the most likely diagnosis?