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Ortho Exam 2 > Elbow - CHARTS > Flashcards

Elbow - CHARTS Flashcards

1
Q

subjective exam

A

chief complaint: pain

history

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2
Q

pain

A

lateral

medial

posterior

cubital fossa pain

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3
Q

lateral pain

A

possible lateral epicondylitis

radial nerve syndrome

RCL sprain

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4
Q

medial pain

A

possible medial epicondylitis

UCL sprain

ulnar nerve compression

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5
Q

posterior pain

A

possible olecranon bursitis

triceps tendonitis

valgus extension overload

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6
Q

cubital fossa pain

A

tear of brachialis or biceps

capsular injury or compression of posterior interosseous nerve

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7
Q

history

A

joint noise

occupation, sports, hobbies

MOI

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8
Q

occupation, sports, hobbies –> history

A

overuse of wrist flexion or extension activities requiring wrist stabilization in extension

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9
Q

MOI –> history

A

FOOSH or tip of elbow

repetitive activities -sports, hobbies, vocation

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10
Q

did pt hear or feel a “pop” when injured

A

if pop was followed by pain/swelling –> could be injury of UCL or RCL

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11
Q

what else could it be if the pt heard or felt a pop

A

recurrent ulnar nerve dislocation

dislocation of medial head of triceps

loose body, synovitis

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12
Q

what should we ask the pt about

A

aggravating activities

pulling - traction

twisting - torque

pushing - compression

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13
Q

general observations to make during exam

A

muscle tone, swelling

texture, color, temp of skin

quality of nails

carrying angle and rest position of elbow

ability to use limb

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14
Q

objective exam

A

asymmetries

STT

special tests

fxn

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15
Q

asymmetries includes

A

observation

palpation

swelling

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16
Q

what should we observe –> asymmetries

A

compare carrying angle R/L

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17
Q

carrying angle

A

~ 5-10 in males

10-15 in females

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18
Q

if carrying angle is greater than normal

A

cubitus valgus

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19
Q

if carrying angle is less than normal

A

cubital varus

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20
Q

gunstock deformity occurs if

A

was a fx or epiphyseal injury to the distal humerus

resulting in cubital varus

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21
Q

when do we see a gunstock deformity

A

full extension

arm abducted at size

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22
Q

gunstock deformity

A

forearm deviated medially over the arm

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23
Q

boundaries of the cubital fossa

A

medially

laterally

superiorly

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24
Q

medially –>boundaries of the cubital fossa

A

pronator teres

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25
Q

laterally –> boundaries of the cubital fossa

A

brachioradialis

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26
Q

superiorly –> boundaries of the cubital fossa

A

imaginary line joining the two epicondyles

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27
Q

what do we palpate –> asymmetries

A

anterior

medial

lateral

posterior

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28
Q

anterior –> palpate asymmetries

A

w/in cubital fossa

biceps tendon

brachial artery

radial head

29
Q

medial –> palpate asymmetries

A

medial epicondyle

medial (ulnar) collateral lig

ulnar nerve

30
Q

lateral –> palpate asymmetries

A

lateral epicondyle

lateral (radial) collateral lig

annular lig

31
Q

posterior –> palpate asymmetries

A

olecranon process and bursa

triceps tendon

32
Q

if swelling is present –> objective

A

all 3 joints are affected

33
Q

where is the swelling present if it affects all 3 joints

A

triangular space

b/w radial head, olecranon tip and lateral epicondyle

34
Q

if swelling is d/t olecranon bursitis

A

discrete encapsulated “goose egg” over olecranon process

35
Q

if swelling is present, how is the joint help

A

in resting position

36
Q

possible systemic causes of elbow pain –> differential dx

A

gout

infectious arthritis

polyarthritis

RA

cervical radiculopathy

37
Q

STTT

A

AROM, PROM, tendinopathy, capsular pattern

38
Q

AROM –> STTT

A

elbow

forearm

wrist

hand

39
Q

PROM –> STTT

40
Q

flexion end feel –> STTT

A

tissue approximation

41
Q

extension end feel -> STTT

A

bone to bone

42
Q

sup/pro end feel -> STTT

A

tissue stretch

43
Q

tendinopathy -> STTT

A

AROM

PROM

resistance

stretch

44
Q

capsular pattern HU –> STTT

A

flex&raquo_space; ext

45
Q

capsular pattern RH -> STTT

A

flex + ext&raquo_space; sup + pro

46
Q

capsular pattern RU -> STTT

A

sup&raquo_space; pro

47
Q

accessory PROM -> STTT

A

end feel

joint play of interosseous membrane

48
Q

HU –> end feel –> accessory PROM –> STTT

49
Q

RH –> end feel –> accessory PROM –> STTT

50
Q

prox R/U –> end feel –> accessory PROM –> STTT

51
Q

resistance –> STTT

A

differentiate b/w multiple muscles w/in the group

52
Q

differentiate b/w multiple muscles w/in the group –>resistance –> STTT

A

elbow flexors/extensors

wrist extensors/flexors

53
Q

special tests

A

ligament stress tests

epicondylosis tests

tests for joint dysfxn

tests for neurologic dysfxn

test length of multiple joint muscles

54
Q

ligament stress tests

A

ligamentous instability tests

posterolateral pivot shift apprehension test

55
Q

ligamentous instability tests

A

varus and valgus

56
Q

epicondylosis test

A

lateral epicondylitis

medial epicondylitis

57
Q

lateral epicondylitis –> special tests

A

cozen’s

mill’s

for tennis elbow

58
Q

medial epicondylitis –> special tests

A

golfers elbow

59
Q

tests for joint dysfxn

60
Q

tests for neurological dysfxn

A

tinel sign @ elbow

wartenberg’s sign

elbow flexion test

test for pronator teres syndrome

pinch grip test

61
Q

test length of multiple joint muscles

A

biceps

triceps

wrist flexors and extensors

62
Q

fxn

A

most activities are done b/w 30-130 degrees of flexion and 50 pronation and 50 supination

63
Q

what do we need for certain activities

A

more range

64
Q

fxnal standardized tests

A

disability of arm, shoulder and hand (DASH)

quick DASH

UE fxnal index

65
Q

correlate –> CDM

A

subjective and objective findings

66
Q

what does CDM lead to

67
Q

what should we do –> CDM

A

make a list of impairments and fxnal deficits

68
Q

what should we design –> CDM

A

a program of interventions that addresses these impairments and fxnal deficits

69
Q

lastly –> CDM

A

treat and reasses

Ortho Exam 2 (17 decks)

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