Elbow Flashcards
Joints in the elbow
3 articulations
1) radio-numeral - articulation between the capitulum of the humerus condole and the concavity on the the superior aspect of the head of the radius
2) proximal radio ulnar - head of the radius and the radial notch of the ulnar
3) humeroulnar - synovial hinge joint between the trochlea of the numeral condyle and the trochlear notch of the ulna
Common problems with the elbow
Tennis elbow Golfers elbow Olecranon bursitis OA Cubical tunnel elbow Pulled elbow - nurse maids elbow
What movement does the radio-humeral joint perform
Pronation and supination
What movement does the proximal radio-ulnar joint do
Pronation and supination
What movement does the humeroulnar joint do
Flexion and extension
What is tennis elbow
Lateral epicondylitis extensor
Inflammation where the common extensor tenon arises fro the lateral epicondyle of the humerus
Hx associated with tennis elbow
Repetitive strain
Test for tennis elbow
Mills test
Forearm in pronation
Extend the wrist - cause pain in the lateral epicondyle and the arm
Mx tennis elbow
Self-resolve in 6-24 months Dec activities and rest the arm Physio can help in those patients who are motivated NSAID use Steroid injection v bad v long time
Mx Golfers elbow
Self-resolve in 6-24 months Dec activities and rest the arm Physio can help in those patients who are motivated NSAID use Steroid injection v bad v long time
What is golfers elbow
Inflamm of the forearm flexor muscles at their origin on the medial epicondyle to as common as tennis elbow
Pain is worse on pronation and forearm flexion
Occasionally associated with ulnar neuropathy as ulnar nerve und behind the medial epicondyle
What is student elbow
Olecranon bursitis
What causes olecranon bursitis
Sustained pressure on the elbows
What is olecranon bursitis
Pain and swelling of the olecranon
Complications of olecranon bursitis
Cellulitis of the overlying skin - Abx
Rarer - abscess formation which may need surgical drainage and IV ab
