Best Practice Case Studies-Ulnar Nerve Instability

Video Transcription

Video Summary

Dr. Adam Smarsky presented a comprehensive discussion on ulnar nerve instability at the elbow as part of the AMS Sports Ultrasound Case Series. Originating from Pennsylvania, Smarsky has extensive experience in ultrasound, having taught and worked at the Naval Academy before joining the Medical Associates Group in Dubuque, Iowa.<br /><br />In this session, Smarsky outlined a case of a 20-year-old quarterback with right elbow pain, providing insights into the use of musculoskeletal ultrasound for diagnosis. The patient experienced medial elbow pain for 18 months, worsening over the last three months, especially after a tackle. Symptoms included sharp pain radiating to the medial forearm and hand, with occasional nighttime numbness affecting sleep.<br /><br />Dr. Smarsky highlighted the importance of dynamic ultrasound testing, particularly in athletics, where static testing might not replicate the forces encountered in real sports situations. He emphasized careful probe positioning to avoid false negatives and recommended evaluating the entire ulnar nerve length.<br /><br />Following anatomical reviews, Smarsky demonstrated dynamic testing techniques, notably for the ulnar nerve’s instability over the medial epicondyle. He also discussed the significance of thorough documentation, sharing insights into creating clear report templates that facilitate communication with healthcare teams.<br /><br />The session concluded with commentary from Dr. Ryan, who reinforced the importance of distinguishing between different types of elbow snapping and maintaining a comprehensive differential diagnosis.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 14

Topic Elbow and Forearm

Keywords

3rd Edition, CASE 14

3rd Edition

Elbow and Forearm

ulnar nerve instability

musculoskeletal ultrasound

elbow pain

dynamic testing

medical documentation

sports medicine

ultrasound diagnosis