Elbow

Question 1

Lateral epicondylitis structure

Answer 1

Tearing of extensor carpi radialis brevis

Sometimes extensor digitorum communis

Question 2

Lateral epicondylitis MOI

Answer 2

Repetitive extension, radial deviation, supination

Question 3

Lateral epincondylitis seen in

Answer 3

Tennis, weavers, plumbers, meat cutters

Question 4

Alternative to Cozen, Mill

Answer 4

Chair lift test

Question 5

Medial epicondylitis MOI

Answer 5

Hammer, screwdriver, golf, throwing

Question 6

___ signs seen with medial epicondylitis

Answer 6

Ulnar neuropathy signs- power grip etc

Question 7

Medial epicondylitis splinting

Answer 7

10 degrees flexion, with 10 degrees radial deviation if flexor carpi radialis is involved

Question 8

Tx for medial or lateral epicondylitis

Answer 8

Ice, myofascial release, cross-friction massage

Question 9

Cubital tunnel syndrome causes

Answer 9

Traction, cubitus valgus, elbow synovitis

Question 10

Cubital tunnel S/S

Answer 10

ULNAR SIGNS

Question 11

Triceps tendinitis MOI

Answer 11

Forceful or repetitive extension

Question 12

Triceps tendinitis S/S

Answer 12

Pain at tip of elbow (olecranon), pain on resisted extension

Question 13

Triceps tendinitis seen in

Answer 13

Boxers, weight lifters, pitchers, shot-putters, tennis players

Question 14

Posterior elbow impingement S/S

Answer 14

Posterior elbow pain following sudden extension

Clicking, popping, locking

Question 15

Posterior elbow impingement structures

Answer 15

Olecranon trochlea and olecranon fossa compression

Question 16

Test for posterior elbow impingement

Answer 16

Extension overload

Question 17

Posterior elbow impingement x-ray finding

Answer 17

Loose bodies on axial or cubital tunnel view (must be surgically removed)

Question 18

Posterior elbow impingement Tx

Answer 18

Loose bodies removed
Ice, rest, activity modification
Extension-block bracing

Question 19

Nursemaid elbow S/S

Answer 19

2-4 yo with lateral elbow pain. Radial head tender/ malpositioned

Question 20

Nursemaid elbow anatomy

Answer 20

Damage to annular ligament

Question 21

Little league elbow S/S

Answer 21

Medial or lateral elbow pain. Clicking, crepitus on supination, pronation (osteochondritis dessicans)

Question 22

Little league elbow anatomy

Answer 22

Medial pain- medial anterior oblique lig, medial epicondylar epiphysis
Lateral pain- radial head/ growth plate

Question 23

Little league elbow etiology

Answer 23

Repetetive valgus stress- stretch of medial structures, compression of lateral structures

Question 24

Little league elbow views

Answer 24

Radial head- capitellum, valgus stress

Question 25

Panner’s disease (osteochondrosis)

Answer 25

AVN of capitellum chondro-epiphysis

Question 26

Panner’s S/S

Answer 26

Dominant arm pain, stiffness. Hx of throwing. Clicking and locking

Question 27

Panner’s views

Answer 27

Radial head-capitellum, oblique

Looking for loose bodies

Question 28

Olecranon bursitis ddx

Answer 28

Gout