Athletic Injuries: Elbow Flashcards
Bursitis Olecranon
most frequently injured bursa can be acute or chronic and often result of direct blow
Valgus and varus stress test
valgus tests for MCL spain
varus tests for LCL sprain
Pinch grip test
inability to touch thumb and index finger indicates entrapment of anterior interrosseous nerve b/t two heads of the pronator muscle
Ponator teres syndrome test
pt resists forearm pronation indicates pain proximally over pronator teres
Tinel’s sign
determines ulnar nerve compromise, AT taps the ulnar notch b/t the olecranon process and the medial epicondyle
UCL injuries
ucl resists valgus stress, most often injujred from valgus force and repetitive trauma often occurs in overhead mvmts/throwing
Lateral Epicondylitis (tennis elbow)
chronic condition that affects individuals who execute repeated forearm flexion and extension
Medial Epicondylitis
irritation and inflammation can result from activities that require repeated forceful flexion of the wrist and extreme valgus torques of the elbow (pitchers golfers javelin)
Elbow osteochondritis dissecans
less common than the knee, can impair blood supply to anterior surfaces of the elbow seen in patient 10-15 yrs old who throw
Little League Elbow
occurs in 10-25% of young pitchers caused by repetitive micro trauma, pt can complain of locking or catching treated with RICE and NSAIDS
Elbow dislocation
occurs by FOOSH or twisting MOI most common is ulna and radius force backward can tear/rupture stabilizing ligaments and disrupt vascular supply
Volkman’s contracture
type of forearm ischemic contracture resulting from brachial artery injury = claw hands and flexed wrist
Pronator teres syndrome
involves entrapment of medial nerve above the elbow or in the pronator teres muscles where the median nerve passes the heads of the muscle