Elbow Injury

HISTORY:

‍RightLeft elbow injury sustained ‍ ‍days ago

Event: ‍ ‍unclearfalldirect blowrepetitive motionliftingoveruse

Location: ‍diffuse

Radiation: ‍none

Severity: ‍mildmoderatesevere, ‍012345678910 / 10

Type: ‍dullaching

Pattern: ‍constantintermittent

Worsening factors: ‍none

‍swelling

‍warmth

‍redness

‍limited range of motion

‍crepitus

‍weakness

‍instability

‍numbness

‍tingling

Treatments tried: ‍none, ‍effectiveineffective

Occupation: ‍

Dominant hand: ‍rightleftboth



EXAM:

Elbow: ‍rightleft

- Inspection: ‍normalolecranon prominence

- Palpation: ‍no tenderness on ‍lateral epicondylemedial epicondyle

- Range of motion: ‍full

- Neurovascular: ‍normal, distal pulses ‍normal, cap refill ‍< 3 sec> 3 sec, sensation ‍normal, distal strength ‍5/5 ‍



ASSESSMENT:

‍Elbow sprain ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Elbow X-ray

- CT scan of the elbow

- MRI of the elbow

- Bursa aspiration

- Rest and elevation

- Ice application

- Compression bandage

- Elbow splint

- ‍Acetaminophen

- ‍NSAIDs

- Physical therapy

- Referral to orthopedic surgeon

- Follow-up in ‍ ‍weeksmonths