Elbow Flashcards
List the muscular pathologies in the elbow?
Lateral epicondylitis
medial epicondylitis
Distal biceps strain/rupture
List the instability pathologies in the elbow?
medial instability (UCL)
lateral instability (RCL)
List the nerve compression injuries in the elbow?
PIN syndrome (radial)
Cubital tunnel syndrome (ulnar)
Pronator syndrome (median)
List the fracture pathologies in the elbow?
supracondylar
radial head
Intracondylar
List the other pathologies in the elbow?
osteochondritis dissecans
osteochondrosis
Myositis ossificans
olecranon bursitis
What do you observe in the elbow examination?
Carrying angle
What is the normal carrying angle for males and females?
males: 5-10*
females: 10-15*
What is a gun stock deformity?
carrying angle is in varus not valgus
Due to radial head deformity
What would you observe in the elbow with olecranon bursitis?
edema
effusion
eccymosis
erythema
What other pathologies must you rule out before deciding its an elbow issue?
C-spine
shoulder
systemic
What muscle stretch reflex is C5?
Biceps
What muscle stretch reflex is C6?
Brachioradialis
What muscle stretch reflex is C7?
Tricpes
What is the elbow extension test and what does it rule IN?
Acute elbow injury
Adults>15
Children 3-15
***Criteria for fracture
What criteria rules out fracture?
no history of trauma
injury >72 hours old
neuromuscular disease
previous limited extension
How do you do the elbow extension test?
Pt seated, shoulder flexed to 90, elbows extended
involved side has less extension than uninvolved side
What repeated movements can you do in the elbow?
open chain with flick
loaded with pt generated overpressure
What is the resting position for the humeroulnar joint?
70* elbow flexion, 10*supination
What is the closed pack position for the humeroulnar joint?
extension with supination
What is the capsular pattern for the elbow?
Flexion limitation >extension
What is the resting position for the radiohumeral joint?
full extension and full supination
what is the closed pack position for the radiohumeral joint?
elbow flexed 90, forearm supinated 5
What is the capsular pattern for the radiohumeral joint?
flexion limitation > extension> supination> pronation
What is the resting position of the superior radioulnar joint?
flexion 70, supination 35,
Closed pack position for superior radioulnar joint?
5* supination
Capsular pattern for superior radioulnar joint?
equal limitation of supination and pronation