Elbow Flashcards

1
Q

humeroulnar open pack

A

70 flexion, 10 supination

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2
Q

humeroulnar capsular pattern

A

flexion more limited than extension

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3
Q

humeroulnar closed pack

A

full extension and supination

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4
Q

humeroradial open pack

A

full extension and supination

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5
Q

humeroradial closed pack

A

90 flexion, 5 supination

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6
Q

radioulnar open pack

A

70 flexion flexion, 35 supination

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7
Q

radioulnar closed pack

A

5 supination

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8
Q

normal carrying angle

A

10-15 degrees

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9
Q

ligaments of the elbow

A

UCL
LCL
annular ligament

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10
Q

UCL movement restraint

A

UCL resists valgus stress
anterior: 0-70 elbow flexoin
posterior: 60-120 elbow flexion

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11
Q

LCL movement restriction

A

provides 30-50% stability against varus
bony structures provide other 50-70%

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12
Q

annular ligament function

A

supports radial head as part of the capsule

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13
Q

lateral elbow pain indicates:

A

epicondylitis

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14
Q

medial elbow pain indicates:

A

tendinopathy
MCL sprain
ulnar nerve compression

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15
Q

posterior elbow pain indicates:

A

olecranon bursitis
triceps tendinosis
valgus extension overload

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16
Q

cubital fossa pain indicates

A

brachialis tear
biceps tear

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17
Q

elbow arthritis: causes

A

trauma
RA
gout
infecction
OA
age 40-60
strenuous work/throwing

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18
Q

elbow arthritis subjective

A

pain
swelling
stiffness
mechanical locking
deformity
septic arthritis: fever/chills/malaise

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19
Q

elbow arthritis objective

A

RA: joint swelling, nodules, tenderness, joint instability
Septic arthritis: severe pain, ROM restriction
OA: minor effusion, joint line tenderness

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20
Q

interventions for elbow arthritis

A

OA: rest, NSAIDs, gentle stretch, modify activity
RA: corticosteroids into joint, splinting, gentle PT to avoid degradation of tissue

21
Q

surgical intervention for arthritis

A

arthroscopic debridement
synovectomy
total elbow arthroplasty

22
Q

fracture of radial head/neck: cause

A

trauma: FOOSH

23
Q

classifications of radial Fxs

A

type 1: nondisplaced
type 2: displaced 2 mm at articular surface/neck Fx creating articular discongruency
type 3: severely crushed Fx of radial head and neck
type 4: ulnohumeral dislocation

24
Q

subjective of radial Fx

A

pain and swelling over lateral elbow
decreased elbow motion: block, pain inhibition, joint effusion

25
Q

objective of radial Fx

A

radial head deformity
neurovascular function can be impaired
lateral elbow tenderness
limited passive supination/pronation & flexion/ext

26
Q

radial Fx interventions

A

type 1: nondisplaced - sling/splint, early AROM
strengthening: iso at 3 weeks, concentric at 5-6 weeks, heavy resistance after 8
type 2: rules of 3s - non surgical if less than 1/3rd of articular surface, less than 30 angulation, less than 3 mm displacement
type 3: excise bone fragments, rehab 12 weeks after fixation
get ROM back first in week 2

27
Q

olecranon bursitis

A

inflammation of bursa
pain with motion due to compression of tissue while moving

28
Q

olecranon bursitis subjective

A

pain
swelling
decreased ROM

29
Q

olecranon bursitis subjective/objective

A

swelling up to 6 cm
but redness and heat indicate infection

30
Q

biceps tendon rupture: cause

A

sudden contraction against significant load
90 degrees flexion

31
Q

biceps tendon rupture subjectiv

A

sharp tear with acute injury
loss of strength in elbow flexion activities/supination

32
Q

biceps tendon rupture objective

A

eccymosis
visible deformity
loss of strength in elbow flexion/supination

33
Q

biceps tendon rupture intervention

A

surgery
protect 6-8 weeks after surgery, then unrestricted ROM

34
Q

triceps tendon rupture: cause

A

deceleration force in elbow extension
uncoordinated contraction of triceps against flexing elbow
more likely if pt has triceps tendinopathy

35
Q

triceps tendon rupture: subjective/objective

A

loss of elbow extension strength
unable to extend arm overhead against gravity

36
Q

triceps tendon rupture: intervention

A

primary repair
partial tear treat w PT,

37
Q

lateral epicondylitis

A

wrist extensor tendons at origin, pathology/inflammation/degeneration becoming chronic
35-50 y/o
caused by repetitive grasping/sports/overuse causing microtrauma

38
Q

grades of lateral epicondylitis

A

1: inflammaotyr, acute
2: pathological alteration of tissue like tendinosis, overuse injury
3: partial tear due to pathological changes and structural failure
4: large tear with fibrosis, matrix calcification, osseous calcification

39
Q

lateral epiconylalgia: subjective/objective

A

diffuse achiness
morning stiffness
localized tenderness over extensors
pain w wrist flexion + elbow extension
PROM painful
resisted tests painful

40
Q

types of tendon lesions based on pain w palpation

A

1: ECRL origin
2: insertion tendinopathy, ECRB (most common)
3: pain at radial head
4: ECRB muscle belly
5: inflam at extensor digitorum origin

41
Q

lateral epicondylalgia special tests

A

Cozen
Mills

42
Q

medial epicondylalgia

A

tendinopathy at flexor/pronator attachment
overuse

43
Q

medial epicondylalgia: subjective/objective

A

medial elbow pain
overuse/lifting/gripping
pain w wrist flexion/pronation
PTP distal to medial epicondyle
pain w passive wrist extension and forearm supination

44
Q

MCL tear elbow

s/s

A

medial elbow pain at ligament site
tender to palpation
ulnar nerve TTP
+ tinel’s at ulnar
loss of terminal elbow extension
+ valgus stress test

45
Q

MCL tear elbow treatment

A

rest
activity modification
ROM
modalities
NSAIDs
stretch and strengthen flexors to support medial elbow

46
Q

little league elbow

A

pain w throwing or palpation due to overuse in 8-15 year olds
valgus stress in cocking/acceleration of pitching
limit max pitches per day

47
Q

median nerve entrapment: pronator syndrome

A

insidious pain
median nerve distribution pain
PTP w pronator teres, resisted supination, long finger flexors

48
Q

treat median nerve entrapment

A

activity modification to avoid aggravating actions
NSAIDs/modalities
stretch wrist flexors/pronators
manual techniques