Elbow Flashcards
What is olecranon bursitis?
Inflammation and subsequent swelling and thickening of the bursa in the olecranon (bony lump at elbow which is part of ulna bone)
What is another name for Olecranon bursitis?
“student’s elbow”, as students may lean on their elbow for prolonged periods while studying, resulting in friction and mild trauma leading to bursitis. It can also occur with people with occupations that require leaning on the elbow, such as plumbers or drivers.
How does olecranon bursitis present?
Swollen
Warm
Tender
Fluctuant
What is a key differential for bursitis?
Septic arthiritis!!
Think infection if v hot, erythema, fever, very tender, features of sepsis
If infection is suspected to be causing bursitis what should be done?
Aspiration and MCS + crstal microscopy for gouts
Abx
Mx of olecranon bursitis?
RIC - rest, ice, compression
NSAID
Protect elbow
steroid injection
What is a repetitive strain injury?
Repetitive strain injury is an umbrella term that refers to soft tissue irritation, microtrauma and strain resulting from repetitive activities
What are the RF for a repetitive strain injury?
Jobs where you do:
Small repetitive activities (e.g., scrolling on a smartphone)
Vibration (e.g., using power tools)
Awkward positions (e.g., painting a ceiling)
What is epicondylitis
Inflammation of the tendon which insert into the epicondyles at the elbow, caused by repetitive strain injury
What are the two different types of epicondylitis?
Medial = golfer's elbow Lateral = tennis elbow
How does lateral epicondylitis present?
Pain radiating down forearm and weakness of extension
What are the special tests for lateral epicondylitis?
Cozens or mills test
How does medial epicondylitis present?
Pain down forearm and weakness of the flexion of wrist
What is the test for medial epicondylitis?
A golfer’s elbow test involves stretching the flexor muscles of the forearm while palpating the medial epicondyle. The elbow is extended, forearm supinated and wrist and fingers are extended. The examiner holds the patient’s elbow with pressure on the medial epicondyle. If this causes pain, the test is positive, indicating medial epicondylitis.
What is the mx of epicondylitis?
RICE NSAID PT Orthotics Steroid injections
