Elbow Common Presentations: Fractures & other Flashcards

1
Q

olecranon bursitis, MOI & presentation

A
  • 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
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2
Q

interventions for olecranon bursitis

A

draining and corticosteroid injection

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3
Q

elbow contracture

A

history: trauma and/or immobilization

hypomobile joint

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4
Q

ROM of elbow contracture

A

ROM loss typically in capsular pattern

flexion > extension

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5
Q

treatments for elbow contracture

A

joint mob
stretching
may need to strengthen in new available ranges as improvements are made

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6
Q

radial head fracture dislocation

A

history: traumatic, FOOSH

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7
Q

systems review symptoms for radial head fracture dislocation

A

integumentary: swelling
neurovascular: nerve or vascular injury highly possible

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8
Q

UQS symptoms for radial head fracture

A
  • decreased ROM at elbow

- pain with ROM at elbow

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9
Q

palpation symptoms for radial head fracture

A

tenderness at radial head

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10
Q

ROM/MMT symptoms for radial head fracture

A

ROM: loss both active and passive, inability to extend, flex, supinate or pronate with a traumatic cause = fracture
MMT: contraindicated

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11
Q

joint mob symptoms for radial head fracture

A

contraindicated

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12
Q

type 1 radial head fracture treatment

A

non-operatively with slint of sling

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13
Q

type 2 radial head fracture treatment

A

treated non-operatively

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14
Q

type 3 radial head fracture treatment

A

surgery, ORIF

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15
Q

following immobilization of radial head fracture, PT should:

A
  • early mobilization to tolerance
  • strengthen once allowed starting with isometrics –> isotonic
  • heavy resistance not allowed until 8 weeks at earliest
  • surgery precautions
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16
Q

monteggia fracture

A

involves dislocation of the proximal radius and fracture of ulna

instead of dislocation of proximal radial head or neck could also lead to fracture of radial head or neck

17
Q

history of monteggia fracture

A

traumatic

MOI: FOOSH, hyperextension or hyperpronation

18
Q

when is a monteggia fracture typically seen

A

seen in PT after surgery

19
Q

systems review symptoms of monteggia fracture

A

integ: swelling
neurovascular: nerve or vascular injury

20
Q

UQS symptoms of monteggia fracture

A

decreased ROM

pain with ROM

21
Q

ROM/MMT/joint mobility symptoms of monteggia fracture

A

ROM: loss both active and passive, painful
MMT: weak
joint mobility: hypomobile

22
Q

olecranon fracture

A

MOI: low or high energy injury, fall backwards on to elbow common, FOOSH - avulsion fracture

23
Q

treatment for olecranon fracture

A
  • prevent ROM loss, atrophy of muscle
  • nutrient exchange
  • SAID principle
  • controlled stress to properly lay down bone
  • if surgery, follow precautions
24
Q

osteochondritis dissecans capitellum

A
  • bone underneath the cartilage of a joint dies due to lack of blood flow, bone and cartilage break loose causing pain and limiting motion
  • children and adolescents
25
Q

history of osteochondritis dissecans capitellum

A
  • insidious onset of diffuse lateral elbow pain common, can be repetitive trauma
  • hx of locking in elbow
26
Q

pain symptoms from osteochondritis dissecans capitellum

A
  • humeroradial joint

- increased activities especially involving supination/pronation

27
Q

ROM/MMT symptoms for osteochondritis dissecans capitellum

A

ROM: supination/pronation, loss full active and passive
MMT: may be painful, crepitus

28
Q

interventions for osteochondritis dissecans capitellum

A
  • avoid strain, minimize strength loss
  • 3-4 months of nonabusive activity
  • focus on bicep and tricep strength and muscular balance to control elbow extension forces
  • motion limiting brace