Elbow Flashcards
A 23-year-old body builder presents with pain at the tip of his elbow after his weight-lifting exercises yesterday. There is tenderness in his right olecranon fossa which is worse on extension from a flexed elbow position. No tests were done.
Triceps tendinitis
A 5-year-old child presents with a painful right elbow. The mother says that the child was attempting to cross a busy road and she grabbed hold of his hand and quickly pulled him back. Since then, the child has refused to move the elbow. On examination, the child’s right elbow is partly flexed and slightly pronated. X-ray of the elbow shows a subluxation of the proximal radioulnar joint.
Nursemaid’s elbow
A 13-year-old teenager complains of pain in his right elbow when he throws a baseball. There is tenderness over his lateral humeral epicondyle. No tests were done.
Little league elbow (Need Cozen’s and Mill’s test to confirm lateral epicondylitis)
A 35-year-old male golfer presents with pain over the medial aspect of the elbow which is worse when driving the ball. On examination, there is tenderness on palpation just distal to the medial humeral epicondyle. Reverse Cozen’s test is positive. No other tests done.
Medial epicondylitis
A 19-year-old female roller blade skater presents with pain in the posterior aspect of the left elbow after injuring it during a roller derby. On examination, she is unable to fully extend the left elbow. A vibrating tuning fork applied to her olecranon causes pain. X-ray of her left elbow reveals a hairline fracture of the olecranon.
Occult elbow fracture
A 54-year-old male tennis player presents with pain in the lateral aspect of the right elbow. This pain is worse when he attempts a backhand shot. On examination, there is marked tenderness just distal to the lateral humeral epicondyle. Mill test is positive. No other tests were done.
Lateral epicondylitis
