elbow

Question 1

painful lat epi
dull ache at rest increase w/ grip
stiff in morning
pain w/ shocking hand and twisting doorknob

Answer 1

lateral epicondylalgia

Question 2

lat epi DSM/signs

Answer 2

wrist ext
wrist radial deviation
gripping

Question 3

lat epi tests

Answer 3

pain w/ resisted supination and r deviation
*pain w/ passive stretch into flexion pronation
*palpate common extensor tendon
*resisted middle finger ext test
grip strength

Question 4

lat epi nerve

Answer 4

radial involvement

also check scapular positions

Question 5

40-50 yr old
baseline players 10-14 yo
golfers
pain at medial elbow
dull at rest, increase w/ leaning
pain w/ grip

Answer 5

medial epi

Question 6

medial epi DSM/signs

Answer 6

pain w/ resisted wrist flexion
pain w/ passive wrist ext
wrist ulnar deviation 
gripping
pronator teres or FCR tender to palpation

Question 7

medial epi tests

Answer 7

resisted wrist flexion
passive wrist ext-supination
palpate common flexor tendon
painfree grip strength

Question 8

thrwoing/overhead motions athletes
16-56 yo
valgus stress or falls
pain w/ activity,  ache after
pain w/ reaching behind body, overhead

Answer 8

ulnar collateral lig sprain

Question 9

ulnar collateral lig sprain DSM/signs

Answer 9

apprehension when throwing/leaing on outstretched arm
possible ulnar nerve entrap
medial tip and wrist flexors tender to palpation

Question 10

ulnar collateral lig sprain - tests

Answer 10

valgus stress test
moving valgus stress test
milking maneuver

Question 11

repetitive movements w/ rotation of forearm
sports involving repetitive pro/sup
extensive keyboard work, gripping, scissors, stirring
pain/tenderness over brachioradialis
aggravated by work, present at rest
deep achy burning around lateral elbow and dorsal forearm

Answer 11

supinator syndrome - radial nerve entrapment

Question 12

supinator syndrome - radial nerve entrapment signs/dsm

Answer 12

increased pain w/ pronation
no pain w/ resisted supination
pain over radial tunnel when resistant is applied to ext of middle finger w/ elbow extended
weak supinator, wrist, finger extensors

Question 13

supinator syndrome - radial nerve entrapment sights

Answer 13

arcade of froshe
b/n tendons of ECRL and brachioradialis
along radius
C5-C6 vertebrae

Question 14

supinator syndrome - radial nerve entrapment tests

Answer 14

palpation over radial tunnel
radial nerve tension test
grip strength
radial groove tinnel, radial head tunnel, arched of fresh, supinator palpation

Question 15

30-60yo
forearm hypertrophy
ulnar nerve distribution
elbow flexion worsens symptoms

Answer 15

cubital tunnel

Question 16

cubital tunnel exam findings

Answer 16

ulnar nerve tension test 
medial pain
2 heads of FCU
guyon's canal 
tinel sign 
elbow flexion test

Question 17

ulnar nerve entrapment

Answer 17

arcade of struthers
cubital tunnel
b/n FCU heads distal to medial epic
guyons canal

Question 18

pronator teres syndrome

Answer 18

median nerve
aggravated by wrist flexion or ext
pronator teres (ulnar side)
FDS
carpal tunnel 
thenar eminence
c5-c6 vertebrae
medial elbow pain w/ forceful grip

Question 19

screen elbow fx

Answer 19

elbow extension (not able to)
tuning fork on olecranon

Question 20

pronator teres syndrome test

Answer 20

median n entrapment

you supinate them and extend elbow while they try to pronate

Question 21

mwm for gripping pain

Answer 21

6 sec reps w/ 15 seeds between reps

do 10 reps