Upper limb orthopedic hardware impingement

Case contributed by Dr Maulik S Patel


Medial elbow pain while shifting gear of a car for a few days. No recent trauma. Past history of elbow surgery - about 20 years ago. On examination - scar in medial distal arm.

Patient Data

Age: 36 years

At the site of pain, there is protruding metal screw from humerus. There is local encysted fluid around or just superficial to tip of screw. Screw is separated from triceps by this fluid. Ulnar nerve is near screw tip but does not abut screw.


Plain radiograph was suggested after ultrasound.

There is protrusion of a metal screw tip from medial cortex of humerus.

Case Discussion

Protruding tip of screw from humerus causing local pain. There is a local fluid collection.

Overlying triceps muscle is normal. Adjacent ulnar nerve is normal.

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Case information

rID: 45977
Published: 15th Jun 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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