SlideServe
Menu
Préférences
© SlideServe · v2026

Case Presentations: Elbow

emily-ramsey avatar
52 diapositives · 1.5K Views · Nov 09, 2014

Case Presentations: Elbow. Case # 1. Case #1: T.J. HPI: 21 yo LHD collegiate pitcher c/o L elbow pain for the past 12 months. No acute injury. Shut down twice for total of 3 months. PE: Full ROM, non-tender along UCL or with valgus stress, tender long posterolateral olecranon

Case Presentations: Elbow - slide 1
01 / 52Case Presentations: Elbow
1 / 17

Télécharger la présentation

Case Presentations: Elbow
Une image / un lien ci-dessous est fourni (tel quel) pour télécharger la présentation

Politique de téléchargement : le contenu du site vous est fourni TEL QUEL pour votre information et votre usage personnel ; il ne peut être vendu, concédé sous licence ni partagé sur d’autres sites sans l’accord de son auteur.Le contenu vous est fourni TEL QUEL, pour votre information et votre usage personnel uniquement. Téléchargez la présentation en cliquant sur ce lien. Lors du téléchargement, si vous ne parvenez pas à télécharger une présentation, l’éditeur a peut-être supprimé le fichier de son serveur.Pendant le téléchargement, si vous ne parvenez pas à obtenir une présentation, le fichier a peut-être été supprimé par l’éditeur.

F I N

Plus de contenu associé

Transcription de la présentation
  1. Case Presentations: Elbow

  2. Case # 1

  3. Case #1: T.J. • HPI: 21 yo LHD collegiate pitcher c/o L elbow pain for the past 12 months. No acute injury. Shut down twice for total of 3 months. • PE: Full ROM, non-tender along UCL or with valgus stress, tender long posterolateral olecranon • X-Rays: olecranon sclerosis

  4. Case #1: T.J.

  5. Case #1: T.J.Bone Scan

  6. Case #1: T.J.

  7. Case #1: T.J.CT Scan

  8. Case #1: T.J. ?

  9. Case #1: T.J. Operative Procedure

  10. Case #1: T.J. • One year post-op : returned to throwing at same level • 13 months post-op: Acute injury with “pop” while pitching • MRI: Acute UCL tear

  11. Case #1: T.J. ?

  12. Case #1: T.J. • Collegiate Sr. - elected to give up baseball

  13. Case # 2

  14. Case #2: M.R. • HPI: High level 16 yo HS pitcher sustained an acute injury to the elbow while pitching in a relief appearance during summer ball. Heard/ felt a “pop”. Older brother is a collegiate pitcher with a previous UCL reconstruction.

  15. Case #2: M.R. • PE: swelling, ecchymosis medial elbow, painful limited ROM, tender at distal UCL/ sublime tubercle of ulna • X-Rays: Sublime tubercle ulna avulsion fracture

  16. Case #2: M.R.

  17. Case #2: M.R.

  18. Case #2: M.R. Treatment ????

  19. Case #2: M.R. Treatment : Conservative / Rehabilitation Elbow and shoulder PT Repeat x-ray at 2,6, 12 weeks Valgus stress x-rays at 12 weeks

  20. Case #2: M.R.

  21. Case #2: M.R.

  22. Case #2: M.R.

  23. Case #2: M.R.

  24. Case #2: M.R. Currently throwing off the mound in preparation for HS baseball season, medial elbow is pain-free

  25. Case #2: M.R. Discussion

  26. Case # 3

  27. Case #3: J.S • HPI: 34 yo professional pitcher with 2 yr history of medial elbow pain. Sustained an acute medial injury during spring training. • PE: Tender over distal UCL, + valgus instability and pain, ROM 14 -130

  28. Case #3: J.S • PMH: Two previous elbow arthroscopies for VEO – olecranon osteophytes (3 yrs prior) • X-rays: WNL

  29. Case #3: J.S.

  30. Case #3: J.S.

  31. Case #3: J.S. • Treatment recommendations ???

  32. Case #3: J.S. • Treatment: Ulnar Collateral Ligament Reconstruction

  33. Case #3: J.S.

  34. Case #3: J.S • 14 months post-operative – returned to professional level • 15 months – presented with persistent medial elbow pain and shoulder pain after 5 starts (24 innings)

  35. Case #3: J.S.

  36. Case #3: J.S. Diagnosis: Flexor-pronator tendonitis Treatment: ????

  37. Case #3Results • Completed season as reliever • Signed 3 yr – $ 30 million contract

  38. Case #3: J.S. Discussion

  39. Case # 4

  40. Case #: M.H. • HPI: 22 yo collegiate catcher with previous UCL reconstruction 5 months post- operative. Reports “pop” while throwing at 50% during ITP. • PE: swollen, tender medially, ROM limited • X-Rays: medial epicondyle avulsion

  41. Case #4: M.H.

  42. Case #4: M.H.

  43. Case #4: M.H. ?

  44. Case #4: M.H.Operative Procedure • ORIF medial epicondyle

  45. Case #4: M.H.

  46. Case #4: M.H.

  47. Case #4: M.H.3 months Post-op

  48. Case #4: M.H.6 months Post-op

  49. Case #4: M.H. ?

  50. Case #4: M.H.Results • Returned to collegiate baseball at 11 months