Elbow Flashcards
Tissue degeneration seen in the elbow due to chronic overuse or an acute event.
No inflammation.
30 - 50 years of age.
Epicondylitis
Type of Epicondylitis
Pain with lifting, shaking hands, screwdriver, or a tennis backhand.
Origin of the extensor carpi radialis
Lateral Epicondylitis
“Tennis Elbow”
Type of Epicondylitis
Pain with pronation and wrist flexion.
Golf swing, baseball pitching, bowling, pull-through of swimming strokes.
Origin of the flexors + pronators.
Medial Epicondylitis
“Golfer’s Elbow”
“Bowler’s Elbow”
Epicondylitis Treatments
- Activity Medication
- NSAIDs
- Ice + Heat
- Referral after failure of treatment for 6 months.
Pressure on the ulnar nerve as it passes through the groove on the posterior aspect of the medial epicondyle (cubital tunnel).
Direct blow or repetitive trauma.
Diabetes and Alcohol Use
Ulnar Nerve Entrapment
“Cubital Tunnel Syndrome”
Signs and Symptoms of Ulnar Nerve Entrapment
Numbness + Tingling of Ring Fingers
Tinel’s Sign
Positive Froment Sign
Muscle Wasting of Intrinsics - Late Finding
Ulnar Nerve Entrapment Imaging and Treatment
X - Ray
Splints
NSAIDs
Padding of Elbow
Surgery
A “fat pad” or “sail sign” would indicate what type of fracture in a kid?
Distal Humerus
A “fat pad” or “sail sign” would indicate what type of fracture in an adult?
Radial Head
What does a “fat pad” or “sail sign” specifically indicate?
Bleeding into the joint
Who is most at risk for a distal humerus fracture?
Kids due to trauma
How do you treat a Distal Humerus Fracture?
Early ROM
Sling
Surgery
What is the most commonly dislocated joint in children?
Caused by fall on outstretched hand.
Often associated with radial head fracture.
Elbow Dislocation
Imaging and Treatment for an Elbow Dislocation
AP + Lateral X-Rays
ASAP Reduction
Neurovascular Exam
Repeat X-Rays
Early ROM
NSAIDs to reduce ectopic bone formation
