4.2 of 48 Ratings
A 52-year-old construction worker presents with pain in the right proximal dorsoradial forearm over the last 8 months. He reports that his pain is worsened when using a screwdriver and lifting heavy objects. On exam, there is tenderness over the radial head and mobile wad, and pain with resisted supination and resisted third finger extension. There is no tenderness over the lateral epicondyle. There is no appreciable motor weakness or sensory deficits. Electromyography reveals no abnormalities. His radiographs are shown in Figures A and B. The patient has not sought any treatment up until this point. What is the likely diagnosis and first line treatment?
Radial tunnel syndrome; physical therapy and activity modification
Lateral epicondylitis; debridement of the extensor carpi radialis brevis
PIN Syndrome; surgical release of the leash of Henry and arcade of Froshe
Radial tunnel syndrome; steroid injection into the radial tunnel
Lateral epicondylitis; steroid injection into the lateral epicondyle
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A 35-year-old female office worker reports 6 months of deep aching pain that is worse at night on her lateral dominant elbow. The pain also worsens with repetitive movements. On physical exam, the patient has tenderness located 4cm distal to the lateral epicondyle over the mobile wad, and she has subtle weakness of the wrist extensors. Extending her long finger against resistance with a flexed wrist is very painful for her. She also complains of her pain worsening at night. What is the most likely diagnosis?
Radial tunnel syndrome
Carpal tunnel syndrome