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Year 2 MSK > Elbow > Flashcards

Elbow Flashcards

1
Q

What two joints make up the elbow?

A

Humero-ulnar

Radio-capitallar

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2
Q

What is the function of the humero-ulnar joint?

A

Flexion extension

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3
Q

What is the function of the radio-capitellar joint?

A

Supination/pronation

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4
Q

What does the triceps muscle do?

A

Elbow extension

Inserts onto olecranon process

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5
Q

What does the brachialis do?

A

Elbow flexion

Inserts onto the coronoid process

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6
Q

What does the biceps do?

A

Elbow flexion

Inserts onto the bicipital tuberosity of the radius.

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7
Q

What muscles control supination?

A

Biceps and supinator muscles

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8
Q

What muscles control pronation?

A

Contraction of pronator Teres proximally

pronator quadratus distally

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9
Q

Tennis elbow

A

Lateral epicondylitis

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10
Q

Causes of tennis elbow?

A

Repetitive strain injury
Resisted extension at wrist
degenerative Enthesopathy

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11
Q

In the forearm which side do extensors arise from?

A

Lateral

Lateral epicondyle is origin

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12
Q

In the forearm and wrist which side to flexors arise from?

A

Medial

Medial epicondyle

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13
Q

What is Enthesopathy?

A

Pain in the attachment of ligament

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14
Q

What is an enthesis?

A

The area where the tendon attaches to bone?

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15
Q

What is the pathology of tennis elbow?

A

Microtears in extensor origin

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16
Q

Tennis elbow

A

Lateral epicondyle

Extensor

17
Q

Clinical signs of tennis elbow?

A

Painful and tender lateral epicondyle

Pain on middle finger and wrist extension

18
Q

Treatment for tennis elbow

A 
Self limiting
NSAIDs
Rest
Brace
Steroid injection
Physiotherapy
19
Q

Is surgery used in tennis elbow?

A

Only for refractory cases.

Division or excision of extensor origin

20
Q

lateral epicondylitis

A

Tennis elbow

21
Q

Golfers elbow

A

Medial epicondylitis

22
Q

Which is more common tennis or golfers elbow?

A

Lateral tennis is more common

23
Q

Golfers elbow cause

A

Repeated strain or degeneration of the flexor origin.

24
Q

Golfers elbow treatment.

A 
Physio
Rest 
NSAIDs
Brace
Steroid injection risk of ulnar nerve damage
25
Q

Is primary OA of the elbow common?

A

No its very uncommon

26
Q

What forms of arthritis are common in the elbow?

A

Rheumatoid or secondary OA due to trauma

27
Q

What is unusual about RA in the elbow

A

Massively reduced symptoms despite joint being destroyed.

28
Q

Arthritis in radio-capitellar joint that’s unresponsive to non surgical treatment can undergo what?

A

Excision of the joint as good pain relief with minimal loss of function.

29
Q

Arthritis in homer-ulnar joint that’s unresponsive to non surgical treatment can undergo what?

A

Total elbow replacement

30
Q

What is the limiting factors for a total elbow replacement?

A

2.5kg lifted postoperative

Year 2 MSK (19 decks)

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