The patient is a 44-year-old individual who sustained an injury on 10/20/15 due to grabbing. She presented with a left wrist pain described as severe.
A detailed examination of the upper extremities revealed tenderness over the median nerve at the wrist with a positive Tinel’s sign. There was tenderness over the ulnar nerve at the elbow with a positive Tinel’s sign. There was a diminished sensation primarily in the ring and small fingers. There was tenderness over the flexor carpi ulnaris tendon sheath with swelling and synovitis and tenderness over the extensor carpi ulnaris tendon sheath. An MRI of the left wrist dated 10/30/2015 revealed tendinopathy involving the extensor carpi ulnaris tendon with increased signal within the median nerve.
A detailed examination of the upper extremities revealed tenderness over the median nerve at the wrist with a positive Tinel’s sign. There was tenderness over the ulnar nerve at the elbow with a positive Tinel’s sign. There was a diminished sensation primarily in the ring and small fingers. There was tenderness over the flexor carpi ulnaris tendon sheath with swelling and synovitis and tenderness over the extensor carpi ulnaris tendon sheath. An MRI of the left wrist dated 10/30/2015 revealed tendinopathy involving the extensor carpi ulnaris tendon with increased signal within the median nerve.