A 48-year-old man presented to the doctor with complaints of elbow pain that developed on his right arm after weightlifting earlier that day. He was performing a biceps-strengthening exercise with a weighted barbell when he felt and heard a popping sound and experienced pain around his right elbow.
On examination, diffuse ecchymoses at the medial arm and a reverse “Popeye” deformity of the arm were observed. X-ray examination ruled out fractures and avulsions. A positive hook test demonstrated a complete tear, and there was weakness with elbow flexion and supination. The patient denied anabolic steroid use. The patient was healthy and had no relevant medical history.
What’s the diagnosis?
- Acute compartment syndrome
- Biceps muscle strain
- Distal biceps tendon rupture
- Osteochondritis dissecans of the elbow
Use the Differential Builder in VisualDx to help you.