Elbow Flashcards

1
Q
Biceps Brachii
LVL
Trunk
Cord
Nerve
A
Supination, elbow flexion
LVL C5-6
Trunk Upper
Cord Lateral
Nerve musculocutaneous
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2
Q
Brachialis
LVL
Trunk 
Cord 
Nerve
A
elbow flexion
LVL C5-6
Trunk Upper
Cord Lateral
Nerve musculocutaneous
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3
Q
Brachilradialis
LVL
Trunk 
Cord 
Nerve
A
elbow flexion
LVL C5-6
Trunk Upper
Cord Posterior
Nerve Radial (below spiral groove)
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4
Q
Pronator Teres
LVL
Trunk 
Cord 
Nerve
A
protonation, minor elbow flexion
LVL C6-7
Trunk upper and middle
Cord lateral
Nerve Median
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5
Q
Triceps
LVL
Trunk 
Cord 
Nerve
A
Elbow extension
LVL C 6 7 8
Trunk All 3
Cord Posterior
Nerve Radial (above spiral groove)
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6
Q
Anconeous
LVL
Trunk 
Cord 
Nerve
A
Elbow extension
LVL C 6 7 8
Trunk All 3
Cord Posterior
Nerve Radial (above spiral groove)
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7
Q
Supinator
LVL
Trunk 
Cord 
Nerve
A
minor supination
LVL C5-6
Trunk upper
Cord post
Nerve Radial, PIN
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8
Q
Pronator quadatus
LVL
Trunk 
Cord 
Nerve
A
Pronation
LVL C7 8 T1
Trunk middle and lower
Cord medial and lateral
Nerve  median, AIN
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9
Q

Flexor carpi radialis FCR

A

LVL C6-7
Trunk upper and middle
Cord lateral
Nerve Median

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10
Q

Flexor carpi ulnaris FCU

A

LVL C8 T1
Trunk lower
Cord medial
Nerve ulnar

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11
Q

Flexor carpi superficialis

A

LVL C7-8
Trunk middle and lower
Cord medial and lateral
Nerve median

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12
Q

Flexor digitorum profundus FDP

A

LVL C 7 8 T1
Trunk middle and lower
Cord medial
Nerve median AIN and ulnar

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13
Q

Extensor carpi radialis longus and brevis

A

Tennis elbow is usually brevis

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14
Q

Extensor digitorum ED/EDC

A

LVL C6 7 8
Trunk middle lower
Cord post
Nerve radial PIN

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15
Q

Extensor carpi ulnaris ECU

A

LVL C 7 8
Trunk middle lower
Cord post
Nerve Radial PIN

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16
Q
Humeral SHAFT fraction
usual cause
work up
general tx
look out for?
A

Trauma/ foosh
xray, exam
splint
wrist drop, radial n. injury

17
Q
DISTAL humerus fracture
usual cause
work up
general tx
Nerves
A

trauma
xray, exam
splint if nondisplaced, ORIF if displaced
ulnar, median, radial

18
Q
olecranon fx
fracture
usual cause
work up
general tx
Nerves
A

trauma
xray, exam
splint if nondisplaced, ORIF if displaced
ulnar

19
Q
Radial Head fx
usual cause
work up
general tx
Nerves
A

trauma
xray, exam
splint if nondisplaced, ORIF if displaced
radial

20
Q
Valgus etension overload syndrom CEO
cause
pain
work up
tx
* in kids?
A

excessive/ repetitive valgus extension force - baseball pitches
post/medial elbow pain- VEO test
xray- osteophyte or loose bodies
tx- remove above or fix pitching
Little leaguer’s elbow- traction apophysitis (inflamation of tendon) of medial epicondyle growth plates leading to osteochondritits dissecan of capitellum (poor blood supply leading to aseptic necrosis)

21
Q

Elbow dislocation

A

most common in children
usually posterior
xray/ exam
reduce/ splint

22
Q

Nursemaid elbow

A

Radial head sublux out of annular ligament
upward yank on child’s hand
xray, exam
reduce- hyper protonate or supination with flexed arm

23
Q

Ulnar collateral ligament strain

A
AKA medial collateral ligament
excessive valgus force to anterior bundle of UCL
medial elbow pain / lax
xray
tx RICE, PT, Tommy John surgery
24
Q

Radial collateral ligament strain

A
AKA lateral collateral ligament
excessive varus force to RCL
lateral elbow pain
xray
tx RICE, PT, surgery
25
Q

olecranon bursitis

A

inflamation of olecranon bursa
friction, repetitive force, assoc with RA, gout
exam, aspirate and cx if infected
tx rice elbow pad, aspiration

26
Q

Lateral epicondylitis (tennis elbow)

A

overuse of wrist/finger extensors (usually ECRB)
+ cozen and mill’s test
tx rice, PT, splint, steroid, tenotomy, regenerative
increase grip size, decrease string tension <55lbs, play in slow court (clay) correct technique

27
Q

Medial epicondylitis (golfer’s elbow)

A

flexor tendon inflamation
overuse, valgus stress to common flexor tendon
golfers and pitchers
pain at common flexor tendon at medial epidondyle, pain with wrist flexion or extension while palpating tendon
RICE splint, PT, correct technique

28
Q

Distal Biceps tendonitis tear

A

overload/use inflammation or tear at tendon insertion at radial tuberosity
pain at antecubital fossa, pain with biceps load
if rupture, sudden swelling and bruising at ant elbow
xray to r/o avulsion
Hook test: finger at distal tendon attempt at hooking it out
tx rice, pt, technique, surgery

29
Q

triceps tendonitis/tear

A

overuse
avulsion with sudden eccentric force can occur
xray
RIE, PT, surgery