Elbow and Forearm pt. 2: Final Flashcards
What is a supracondylar fracture
Distal segment of humerus is fractured and displaced
Complications of condylar fracture
Volkmann’s sischemic flex ion contracture due to possible brachial artery damage
EMERGENCY REFERRAL
How to treat olecranon fx and what is the concern with this
No flexion over 90 for 2 months
It becomes difficult to regain full ext
Special tests for elbow fx AFTER TRAUMA
Lack of ext ROM
OTHER MOTIONS RESTRUCTED
Lack of supination and pronation
When does PT start for elbow fx
4-8 weeks
Same rx as other fx; focus on immobilization and general fx guidelines
Prevalence of ulnar n entrapment
2nd most common compression neuropathy
Locations: cubical tunnel at elbow, FCU heads in proximal forearm, and gyons canal in hand
Etiology of ulnar n entrapment at cubital tunnel and symptoms
OA/ trauma
Symptoms: medial/finger paraesthesias, weak grip
Signs of ulnar n Entrapment
ROM = limited elbow flx with possible paraesthesias, possibly some limited ext
Resisted = weak wrist and 4th and 5th digit flexion, thumb abd, and grip
Neuro = possibly diminished sensation over ulnar cutaneous distribution
Special tests for ulnar nerve entrapment
Elbow flex test
Tinel’s
Wartenberg’s sign
What might you find with ulnar nerve palpating in the cubital tunnel with ulnar n entrapment
Provocation with ulnar nerve pressure up to 60 sec
Subluxation of ulnar n possible
How does ulnar n entrapment at the fcu heads differ
Same as cubital tunnel except normal ROM, different etiology, and no symptoms with cubital tunnel paraesthesias
How does entrapment at guyons canal differ from entrapment at cubital tunnel
Etiology = cyst or repetitive stress with hand and onto hook of hamate
Elbow ROM is WNL
Resisted = hand but no wrist weakness
No results from palpating in cubital tunnel
Rx for terminal n branch injury
POLI (no C) ED bc compression is cause
Bracing/splinting to assist with limiting compression
MET with optimal stresses to create neural motion or flossing and elimination of compression
