60 year young lady right arm and forearm pain to her right thumb and index finger for 3 months. The pain is worse when she picks up her bag and put it onto her right shoulder. She also can not write with pen or use her mouse due to loss of strength in her index finger.
On examination, supination and forced supination of her right forearm reproduced her typical pain as shown.
Diagnosis: median nerve entrapment at elbow.
Management: physical therapy; Orthopedic consult.