Abstract
A 25-year-old male football player complains of new right upper extremity numbness and weakness. Symptoms are such that he is unable to catch an American football; however he is able to loosely hold a can of soda. He states the symptoms started after a motorcycle accident 1 week ago and have got worse. The pain from the accident has improved, but the numbness and weakness are unchanged and a little worse. The patient rates his pain at a 3/10 with radiation down his arm from his shoulder to his fingers. Physical exam is remarkable for a well-developed male with prominent upper-bodymusculature. There is no noted edema, cyanosis, or clubbing of the upper extremity. There are equal strong bilateral radial pulses, 2+ biceps reflexes on the left, 5/5 strength of the left upper extremity, 1+ biceps reflex on the right, 3/5 shoulder abduction, 3/5 biceps flexion, 3/5wrist extension, and 4/5 strength to the intrinsic muscles of the hand. Tinel's sign is negative, bilaterally.
Original language | English (US) |
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Title of host publication | Case Studies in Pain Management |
Publisher | Cambridge University Press |
Pages | 30-37 |
Number of pages | 8 |
ISBN (Electronic) | 9781107281950 |
ISBN (Print) | 9781107682894 |
DOIs | |
State | Published - Jan 1 2014 |
ASJC Scopus subject areas
- Medicine(all)