Elbow Flashcards
Carrying angle
increases as wrist adducts (abduction of ulna)
decreases as the wrist abducts (adduction of ulna)
Cubitis valgus
Carrying angle >15deg
think VaLgus makes an L with the arms
Cubitis Varus
if CA is less than normal (10-15deg W, 5deg M)
aka gunstock deformity
Parallelogram of Foreamr
As olecranon aBducts the wrist adducts
As the olecranon aDducts, the wrist abducts
dysfunction of the olecranon is usually the primary SD at the elbow
Findings associated with Elbow abduction
Wrist adduction increased carrying angle medial glide distal RU joint is abducted Compressed radial head against capitulum
findings associated with elbow adduction
Wrist abduction decreased carrying angle (gunstock) lateral glide distal forearm prefers adduction radial head is gapped at the capitulum
Pronation
radius crosses over ulna and creates a fulcrum
distal radius to move anterior
radial head moves posterior
supination
distal radius moves posterior
radial head moves anterior
SD of CMC
almost always involve compression component
especially if motion is restricted in both dorsal in ventral glide
Treatment of Elbow SD
Standing in front, if the SD is right ulnar abduction with medial glide
take their right hand in yours while cradling the patients right elbow in your left hand (thenar on lateral epi and fingers on olecranon)
flex to 90deg
adduct the distal ulna and laterally glide the olecranon to restrictive barrier
swing elbow through to restrictive barrier
MET for anterior radial heads
SD= R anterior radial head
1-hold their R hand in your R hand w/ L thumb on their radial head
2- pronate hand, apply posterior pressure to radial head
3- instruct them to supinate while you resist, wait 3-5 sec