Elbow Common Presentations: Fractures & other Flashcards
olecranon bursitis, MOI & presentation
- easily injured due to superficial location, can become infected
- MOI: direct trauma, repeated grazing or weight bearing on area
- presentation: swelling, tender to palpation, ROM painful
interventions for olecranon bursitis
draining and corticosteroid injection
elbow contracture
history: trauma and/or immobilization
hypomobile joint
ROM of elbow contracture
ROM loss typically in capsular pattern
flexion > extension
treatments for elbow contracture
joint mob
stretching
may need to strengthen in new available ranges as improvements are made
radial head fracture dislocation
history: traumatic, FOOSH
systems review symptoms for radial head fracture dislocation
integumentary: swelling
neurovascular: nerve or vascular injury highly possible
UQS symptoms for radial head fracture
- decreased ROM at elbow
- pain with ROM at elbow
palpation symptoms for radial head fracture
tenderness at radial head
ROM/MMT symptoms for radial head fracture
ROM: loss both active and passive, inability to extend, flex, supinate or pronate with a traumatic cause = fracture
MMT: contraindicated
joint mob symptoms for radial head fracture
contraindicated
type 1 radial head fracture treatment
non-operatively with slint of sling
type 2 radial head fracture treatment
treated non-operatively
type 3 radial head fracture treatment
surgery, ORIF
following immobilization of radial head fracture, PT should:
- early mobilization to tolerance
- strengthen once allowed starting with isometrics –> isotonic
- heavy resistance not allowed until 8 weeks at earliest
- surgery precautions