A man in his 40’s presents to urgent care with 3 days of worsening pain in his right elbow, numbness in his right pinky and ring finger, and numbness in the right hand. The patient reports that he fractured that elbow 6 years ago. The symptoms all started after he participated in a tug-of-war game 4 days ago. He denies any neck pain, symptoms in his legs or other arm, fever, or other complaints.
Vital Signs and Examinations
All of the patient’s vital signs are within normal range and the results of a physical examination are normal except for anesthesia in the right little finger and half of the ring finger, as well as weakness to finger spread and opposition. Radiograph imaging of the right elbow shows hypertrophic bony arthritis of the elbow.
Can you diagnose this condition?
Click to the next page for answers.
This article originally appeared on Clinical Advisor