Elbow Common Presentations: Bicep and Tricep pathology

Question 1

distal bicep tendinopathy history

Answer 1

repetitive elbow extension with pronation or repetitive flexion with stressful pronation/supination

Question 2

pain location with distal bicep tendinopathy

Answer 2

anterior distal upper arm

Question 3

palpation tenderness for distal bicep tendinopathy

Answer 3

tender at distal biceps tendon

Question 4

ROM/MMT for distal bicep tendinopathy

Answer 4

ROM: pain with passive shoulder extension and elbow extension
MMT: pain with elbow flexion and supination

Question 5

intervention for distal bicep tendinopathy

Answer 5

• pain/inflammation management
• regain strength, endurance, flexibility
• address and kinetic chain impairments
• cross friction
• eccentrics

Question 6

history for tricep tendinopathy

Answer 6

stems from overuse, repetitive extension, repetitive heavy lifting

Question 7

pain location at tricep tendinopathy

Answer 7

posterior elbow

Question 8

palpation tenderness of tricep tendinopathy

Answer 8

tender at triceps tendon insertion site

Question 9

ROM/MMT for tricep tendinopathy

Answer 9

ROM: passive shoulder flexion painful
MMT: elbow extension

Question 10

interventions for tricep tendinopathy

Answer 10

• pain/inflammation management
• regain strength, endurance, flexibility
• address and kinetic chain impairments
• cross friction
• eccentrics

Question 11

distal bicep tendon rupture

Answer 11

• mainly males

- 50 years old and up

Question 12

MOI for distal bicep rupture

Answer 12

sudden contracture of biceps against significant load

Question 13

history for distal bicep rupture

Answer 13

acute, sharp, tearing pain when injury occurs, usually dull ache after acute pain

Question 14

pain location for distal bicep rupture

Answer 14

anterior elbow

Question 15

palpation tenderness for bicep tendon rupture

Answer 15

tender at distal bicep rupture

Question 16

integumentary for distal bicep rupture

Answer 16

bruising

Question 17

ROM/MMT for distal bicep rupture

Answer 17

ROM: passive elbow extension and pronation
MMT: pain and weakness of supination > elbow flexion

Question 18

interventions for distal bicep rupture

Answer 18

• sugery common
• post op elbow protected for 6-8 weeks
• after 6-8 weeks unrestricted ROM and gentle strengthening commonly initiated
• return to unrestricted activity not allowed for minima of 6 months typically

Question 19

if surgery doesn’t happen for a distal bicep rupture, what strength is lost

Answer 19

88% loss of elbow flexion

74% loss of supination

Question 20

tricep tendon rupture MOI

Answer 20

• uncommon

- deceleration during elbow extension, FOOSH

Question 21

history tricep tendon rupture

Answer 21

acute, sharp, tearing pain when injury occurs, usually dull ache after acute pain

Question 22

pain location for tricep tendon rupture

Answer 22

posterior elbow

Question 23

palpation location for tricep tendon rupture

Answer 23

tender at tricep insertion

Question 24

integument for tricep tendon rupture

Answer 24

bruising

Question 25

ROM/MMT for tricep tendon rupture

Answer 25

ROM: passive elbow flexion
MMT: pain, weak at elbow extension

Question 26

treatment for tricep tendon rupture

Answer 26

sugery