Elbow Flashcards
Lateral epicondylitis tests
Cozen’s
Mill’s
Middle finger test
Book lift test
Medial epicondylitis tests
Reverse Cozen’s
Reverse Mill’s
Pronator teres/median nerve tests
Tinel's wrist Thumb-index pinch Elbow flexion/sustained flexion test Pronator stretch test Sustained flexion test
Cubital tunnel/ulnar nerve tests
Tinel’s elbow
Wartenberg sign
Elbow joint type
Hinge: humeroulnar and humeroradial
Pivot: proximal radioulnar and humeralradial
Elbow AROM flexion
150
Elbow AROM extension
0 to -5
Elbow AROM pronation
80-90
Elbow AROM supination
90
Elbow flexion muscles
brachialis
biceps brachii
brachioradialis
Elbow extension muscles
triceps brachii
anconeus
Elbow pronation muscles
pronator teres
pronator quadratus
Elbow supination muscles
biceps brachii
supinator
Elbow normal end feel
F: soft tissue approximation
E: bony approximation
Pronation: bony approx. or ligamentous
Supination: ligamentous
Elbow abnormal end feel
Boggy –> joint effusion
Early myospasm –> acute injury
Late myospasm –> instability
Springy block –> loose body (osteochondritis dissecans)
Elbow carrying angle
5-15 normal
> 15 cubitus valgum/cubital valgus
< 15 cubitus varum/cubital varus
Brachialis
O: distal 1/2 ant surface humerus
I: coronoid process and ulnar tuberosity
A: flex forearm
Inn: musculocutaneous
Brachioradialis
O: lat supracondylar ridge of humerus
I: distal end, lat surface of radius
A: flex forearm when hand partially pronated
Inn: radial
Coracobrachialis
O: coracoid p. of scapula
I: middle, medial surface of humerus
A: flex and adduct arm
Inn: musculocutaneous
Anconeus
O: lat epicondyle
I: lat surface of olecranon p. and post. surface of ulna
A: assist triceps in extending elbow, stabilizes elbow joint
Inn: radial
Supinator
O: lat epicondyle, radial collateral and annular lig, supinator fossa and crest of ulna
I: prox 1/3 radius
A: supinate forearm
Inn: radial
Pronator quadratus
O: distal 4th ant surface of ulna
I: distal 4th ant surface of radius
A: pronate forearm, holds distal ends radius and ulna together
Inn: median nerve
Pronator teres
O: med epicondyle and coronoid p. of ulna
I: middle lat surface of radius
A: pronate forearm and flex elbow
Inn: median nerve