Elbow Classification/Diagnoses Flashcards
Epicondylitis
Location of Symptoms
- lateral epicondyle, lateral elbow/forearm
- medial epicondyle, medial elbow/forearm
-dull ache at rest, sharp with lifting
Subluxation/Dislocation
Location of Symptoms
- pain at radial head
- proximal forearm pain
Cubital tunnel Syndrome
Location of Symptoms
-N/T down 4th and 5th digit
Pronator Teres Syndrome
Location of Symptoms
- pain in volar forearm into index and middle finger
- paresthesia in thumb, index, middle fingers
- (median N compressin through pronator teres)
Radial tunnel syndrome
Location of Symptoms
- pain, N/T with elbow extension
- (radial n compression at radial tunnel)
Posterior Interosseous Syndrome
Location of Symptoms
Unable to extend thumb or fingers at MCP
-(radial n compression at arcade of Frohse
Bursitis
Location of Symptoms
-posterior elbow
Epicondylitis
Agg Factors
- Lateral: wrist extension/grasp
- Medial: wrist flexion/pronation
Subluxation/Dislocation
Agg Factors
Elbow movements
Cubital Tunnel Syndrome
Agg Factors
-weak pinch grasp
Pronator Teres Syndrome
Agg Factors
- weak forearm Mm
- pain with resisted pronation, elbow flexion and wrist flexion
Radial Tunnel Syndrome
Agg Factors
-pain, N/T with elbow extension
Posterior Interosseous Syndrome
Agg Factors
-unable to extend thumb or fingers at MCP
Bursitis
Agg Factors
pain with elbow movement
Epicondylitis
Ease Factors
rest
Cubital Tunnel Syndrome
Ease Factors
-splinting/rest
Pronator Teres Syndrome
Ease Factors
-splinting/rest
Radial Tunnel Syndrome
Ease Factors
splinting/rest
Posterior Interosseous Syndrome
Ease Factors
splinting/rest
Bursitis
Ease Factors
RICE
Epicondylitis
Neurodynamic Testing
- ULNT1
- ULNT 2 (Mb and Rb)
Cubital Tunnel Syndrome
Neurodynamic Testing
- ULNT1
- ULNT2 (Mb)
Radial Tunnel Syndrome
Neurodynamic Testing
-ULNT (Rb)
Posterior Interosseous Syndrome
Neurodynamic Testing
ULNT (Rb)
Bursitis
Neurodynamic Testing
ULNT1
Cubital Tunnel Syndrome
Neurological Examination
Sensory testing of ulnar distribution of hand
Epicondylitis
ROM
- Lateral: pain with active wrist ext
- Medial: pn active wrist flexion
Sublux/Dislocation
ROM
- Radial Head: pronation/supination, extension limited
- Posterior: flexion/extension
Cubital Tunnel Syndrome
ROM
-elbow flexion may replicate symptoms
Pronator Teres Syndrome
ROM
-may lack supination ROM if pronator tight
Radial Tunnel Synrome
ROM
-Not limited
Posterior Interosseous Syndrome
ROM
-decreased active thumb/finger extension at MCP
Bursitis
ROM
-limited elbow flexion/extension
Epicondylitis
Special Tests
- Lateral: resisted wrist extension; resisted 3rd digit extension; Mill’s
- Medial: medial epicondylitis test (golfer’s elbow test)
Sublux/Dislocation
Special Tests
Fx: Elbow Extension Test
Elbow Flexion test
Pronator Teres Syndrome
Special Tests
Phalen’s (-)
Radial Tunnel syndrome
Special Tests
Resisted 3rd digit extension reproduces pain
Posterior Interosseous Syndrome
Special Tests
-Symptoms with resisted wrist extension
Epicondylitis
Palpation
- palp over medlat epicondyle
- Medial: tender FCR and Pron teres
Sublux/Dislocation
Palpation
- radial head
- olecranon
Cubital Tunnel Syndrome
Palpation
-Ulnar nerve at medial epicondyle
Pronator Teres Syndrome
Palpation
symptom reproduction with pressure over pronator teres muscle
Radial Tunnel Syndrome
Palpation
- lateral epicondyle
- radial head
Posterior Interosseous Syndrome
Palpation
-distal from lateral epicondyle
Bursitis
Palpation
tender at bursa
Epicondylitis
Muscle Length/Strength
- Lateral: wrist extensors stiff/short
- Medial: wrist and finger flexor stiff/short
Cubital Tunnel Syndrome
Muscle Length/Strength
- Atrophy of adductor pollicis
- short/stiff FCU
Pronator teres Syndrome
Muscle Length/Strength
-weakness of Mm of forearm and hand innervated by median nerve (FCR, FD)
Posterior Interosseous Syndrome
Muscle Length/Strength
-may have short supinator muscle