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Work Related Injury Case Studies

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DOI: 8/13/2013. The patient is a 34-year old male field technician who sustained a work-related injury to his right hand and shoulder from falling off a ladder.
Per PT note dated 04/08/15, the patient has attended 12 sessions and would need 12 additional sessions for the right shoulder.
Electrodiagnostic studies of the right upper extremity performed on 12/19/13 showed increased insertional activity in the right triceps muscles which can be seen in conjunction with denervation and a possible right C7 radiculopthy is suggested. Clinical correlation is recommended. There are no evidence of median nerve entrapment at the wrist, ulnar neuropathy and brachial plexopathy.

Based on progress report dated 06/15/15, the patient returns for further evaluation of his right upper extremity condition. He is now approximately 3-1/2 months status post revision surgery over the right shoulder. He continues to note improvement with continued home exercise program and progressive range of motion and function. He continues with therapy. …show more content…
His symptoms do continue to be intermittent, however has progressed to being more often. He notes worsening of the symptoms with positional changes such as driving, as well as sleeping at night. He complains of nocturnal symptoms which wake him up. He also has associated weakness which continues to progress as well. As of this report, nerve conduction studies didn’t show evidence of ulnar neuropathy or cubital tunnel syndrome. Treatment has included ice, antiinflammatories, bracing/elbow pad with slight improvement, and cortisone injection with only temporary

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