Elbow

Question 1

What is the terrible triad after elbow dislocation?

Answer 1

1. Damage to medial ligaments
2. Radial head/ neck #
3. Coronoid process

Question 2

What 3 major nerves cross the elbow joint ?

Answer 2

1. Radial
2. Median
3. Ulnar nerves

Question 3

What muscle can compress the ulnar nerve at the elbow ?

Answer 3

FCU

Question 4

Where does the median nerve most likely become compressed at the forearm/elbow?

Answer 4

Pronator teres heads

Question 5

De Quervains Tenosynovitis can be associated with which nerve

Answer 5

Radial

Question 6

Supinator muscle can compress which nerve ?

Answer 6

PIN - a branch of the radial nerve

Question 7

Is US useful to rule in/rule out LET?

Answer 7

It can rule it out

Question 8

For lateral elbow pain, an Ultrasound might be good to look for compression of what?

Answer 8

Radial nerve or PIN compression

Question 9

List 4 DD’s of LET

Answer 9

1. Local OA
2. Radial Tunnel Syndrome
3. PIN entrapment
4. Posterolateral instability elbow

Question 10

A vague elbow ache with weak/painful pronation might indicate?

Answer 10

Radial tunnels syndrome

Question 11

What is Cubital Tunnel Syndrome

Answer 11

Compression of the ulna nerve at the elbow

Question 12

Name 3 tests for Cubital tunnel syndrome

Answer 12

1. Tinnels
2. Flexion compression test
3. Scratch collapse

Question 13

What are the two main symptoms consistent with Cubital tunnel syndrome

Answer 13

1. Symptoms aggravating with elbow flexion
2. Symptoms in the ulnar nerve distribution

Question 14

What muscle should be checked and how for Cubital tunnel

Answer 14

Adductor Pollicis:
Can do a fromonts or key turning sign

Question 15

What is the best immobilisation protocol post elbow dislocation ?

Answer 15

Collar and cuff sling start at 60-90 degrees and gradually lengthen over 6 weeks

Question 16

What is the regime for elbow dislocations and what is stage 1 ?

Answer 16

Sheffield Regime

Stage 1 is Hotchckiss exercises in supine