Chapter 23

Question 1

Special Tests

Answer 1

• elbow extension test
• valgus
• varus
• lateral and medial epicondylitis
• pinch grip
• pronator teres syndrome test
• moving values stress test
• circulatory and neurological evaluation
• tinel’s sign

Question 2

Specific Injuries: Lat Epicondylitis (tennis elbow) - Management

Answer 2

• POLICE
• ROM exercises
• deep friction massage
• mobs and stretching

Question 3

Specific Injuries: Lat Epicondylitis (tennis elbow) - signs and symptoms

Answer 3

• c/o aching pain in region of lateral epicondyle during and after activity
• pain gradually becomes worse and weakness develops in hand and wrist
• tenderness at lateral epicondyle
• pain on resisted wrist and full elbow extension

Question 4

Specific Injuries: Med Epicondylitis (golf elbow) - Management

Answer 4

• sling, rest, cryotherapy, US
• 7-10 days with elbow sling and complete rest

Question 5

Specific Injuries: Med Epicondylitis (golf elbow) - Signs and Symptoms

Answer 5

• pain around medial epicondyle during forceful wrist flexion and pronation
• pain may be entered at medial epicondyle or may radiate down arm
• point tenderness and mild swelling
• passive wrist extension elicits pain

Question 6

Specific Injuries: Olecranon Bursitis - Management

Answer 6

• POLICE for at least 1 year
• should be protected by padding while in competition

Question 7

Specific Injuries: Olecranon Bursitis - Signs and Symptoms

Answer 7

• produces severe pain, swelling and point tenderness
• occasionally, swelling will appear almost spontaneously and without the usual pain and heat

Question 8

Specific Injuries: UCL Injuries - Management

Answer 8

• rest
• reconstruction possible and common
• Tommy job surgery

Question 9

Specific Injuries: UCL Injuries - Signs and Symptoms

Answer 9

• c/o pain along medial aspect of elbow
• tenderness over UCL, usually at the distal insertion
• may describe associated parenthesis in the distribution of the ulnar nerve with a positive Tingle’s sign
• values stress applied at 20-30 degrees of flexion, local pain, tenderness and laxity are present

Question 10

Specific Injuries: Volkmann’s Contracture - Management

Answer 10

• removing elastic wraps or casts and elevating the part
• closely monitor

Question 11

Specific Injuries: Volkmann’s Contracture - Signs and Symptoms

Answer 11

• contracture can become permanent
• pain in forearm that becomes greater when fingers are passively extended
• pain followed by cessation of brachial and radial pulses