3 - Elbow Flashcards
What treatment protocol would you perform for a lateral epicondylitis?
-Correct any biomechanical dysfunction, protect, ice the swelling, wear a counter-force armband, & change activities for the elbow as this alters the fulcrum of extension so it’s not directly over the lateral epicondyle.
What ddx should the Dr. perform with a positive Cozen’s***, or ***Mill’s test? Feeling for pt. tenderness.
-Palpate to differentiate whether the pain is over the radial head or lateral epicondyle.
Pronation lift test is the test for what?
-Lateral epicondylitis, or tennis elbow, involving the (extensor musculature)
Supination lift test is the test for what?
-Medial epicondylitis, golfer’s or weightlifter’s elbow, involving the (flexor musculature)
What subluxation might mimic medial epicondylitis
-Posterior ulna (as it’s just distal to the medial epicondyle)
What ddx would the Dr. look for if a lift test was positive?
- In pronation?…-(posterior radius) check pain point over the radial head,…&…fluid motion.
- In supination?..-(Ulna P) check pain point distal to the epicondyle,..&..decreased fluid motion.
- (Ulna PM) check pain point over the olecranon fossa…&…decreased fluid motion.
Limiting factors for elbow traction?
-Patient tolerance and their shoulder starts to move visually posterior
What 3 subluxations would elbow traction be good for?
(1.)Posterior radius
(2.)posterior ulna
(3.)posteriomedial ulna
Which subluxation would elbow traction be most effective for?
-Posterior ulna
How to post-check elbow traction?
- Check fluid motion that was lost in pre-check,
- diminished point pain
- extension of the forearm is restored
CP for radius posterior
-Tip of the thumb
R.O.M. during radius posterior procedure?
? -Full extension and full pronation
Pain point for radius posterior?
-Right over the head of the radius
DDX for radius posterior?
-Lateral epicondylitis….as well as check cervical spine C5-C6.
What ROM is lost with posterior radius
Pronation
