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[Pain when flexing the elbows].

Frank Jonkers1,2, Duncan P Fransz1, Heleen M Staal1

  • 1Maastricht UMC+, afd. Orthopedische Chirurgie.

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Summary
This summary is machine-generated.

A 17-year-old boy experienced arm pain and finger numbness, triggered by elbow flexion. This was associated with a snapping sensation of the ulnar nerve, indicating potential nerve irritation.

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Area of Science:

  • Orthopedics
  • Neurology
  • Sports Medicine

Background:

  • The ulnar nerve is susceptible to compression and irritation in the elbow region.
  • Repetitive elbow flexion can exacerbate symptoms related to ulnar nerve neuropathy.

Observation:

  • A 17-year-old male presented with bilateral forearm pain and paresthesia in the 4th and 5th digits.
  • Symptoms were elicited by elbow flexion and accompanied by an audible/palpable snapping of the ulnar nerve.
  • No evidence of tendinitis, muscle weakness, or sensory loss was noted.

Findings:

  • The clinical presentation suggests a snapping or subluxating ulnar nerve at the elbow.
  • Elbow flexion is identified as a provocative maneuver for ulnar nerve symptoms.
  • Absence of other neurological deficits points towards a localized ulnar nerve issue.

Implications:

  • This case highlights the importance of considering ulnar nerve subluxation in adolescent athletes with elbow pain and paresthesia.
  • Early diagnosis and management can prevent chronic nerve damage.
  • Further investigation may involve electrodiagnostic studies to confirm ulnar nerve involvement.