Elbow Flashcards

1
Q

articulations of the elbow joint

A

trochlea of humerus - trochlear notch of ulna

capitellum of humers - head of radius

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2
Q

what movement is the humero-ulnar joint responsible for

A

flexion-extension

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3
Q

what movement is radio-capitellar joint responsilbe for

A

pronation-supination

along with radio-ulnar joint

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4
Q

muscles responsible for elbow extension

A

triceps muscle (inserts onto the olecranon process of ulna)

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5
Q

muscles responsible for elbow flexion

A

brachialias

biceps brachii

brachioradialis

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6
Q

common extensor origin at the elbow

A

lateral epicondyle

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7
Q

common flexor origin at the elbow

A

medial epicondyle

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8
Q

is OA in the elbow common?

A

No!

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9
Q

is RA in the elbow common?

A

Yes!

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10
Q

What is epicondylitis

A

pain and inflammation of the enthesis at the elbow

enthesis = attachment of flexor or extensor origins

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11
Q

What is tennis elbow

A

lateral epicondylitis - inflammation at the common extensor origin

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12
Q

What causes tennis elbow

A

regular and repeated resisted extension at the wrist

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13
Q

presentation of tennis elbow

A

painful and tender lateral epicondyle

pain on resisted middle finger and wrist extension

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14
Q

Tx of tennis elbow

A

self-limiting - rest, physio
NSAIDs
steroid injections
brace - elbow clasp

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15
Q

Surgical Tx of tennis elbow

A

Rarely offered! Variable results

Division/excision of some fibres of the common extensor origin

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16
Q

What is Golfer’s elbow

A

Medial epicondylitis - inflammation at the common flexor origin

17
Q

Tx of Golfer’s elbow

A

self-limiting - rest, physio
NSAIDs
steroid injections (risk of injury to ulnar nerve)

18
Q

Tx of end-stage arthritis of the radio-capitellar joint

A

Excision of the radial head

19
Q

Tx of end-stage arthritis of the humero-ulnar joint

A

Total Elbow Replacement