Elbow Complex Flashcards
If supination or pronation is limited, any one of the five joints could be involved
Radiohumeral
Superior radioulnar at the elbow
Middle radioulnar
Inferior radioulnar
Ulnomeniscocarpal at the wrist
A normal functional position of elbow is 900 Flexion with Forearm midway between supination and pronation
Yes
When the patient’s arm relaxed, the examiner begins palpation on
the anterior aspect of the elbow and moves to medial aspect, lateral aspect, and finally posterior aspect
The hand and wrist are the most active and intricate parts of the upper extremity
Yes
FUNCTIONAL TEST
Elbow flexion (sitting)
5-6 reps
F
Functional
FUNCTIONAL TEST
Elbow flexion (sitting)
3-4 reps
FF
Functionally Fair
FUNCTIONAL TEST
Elbow flexion (sitting)
1-2 reps
FP
Functionally Poor
FUNCTIONAL TEST
Elbow flexion (sitting)
Cannot move elbow
NF
Non Functional
FUNCTIONAL TEST
Wall push-ups (Elbow Extension)
5-6 push-ups
F
Functional
FUNCTIONAL TEST
Wall push-ups (Elbow Extension)
3-4 push-ups
FF
Functionally Fair
FUNCTIONAL TEST
Wall push-ups (Elbow Extension)
1-2 push-ups
FP
Functionally Poor
FUNCTIONAL TEST
Wall push-ups (Elbow Extension)
Cannot move
NF
Non Functional
FUNCTIONAL TEST
Supination (open door with palm down)
5-6 times
F
Functional
FUNCTIONAL TEST
Supination (open door with palm down)
3-4 times
FF
Functionally Fair
FUNCTIONAL TEST
Supination (open door with palm down)
1-2 times
FP
Functionally Poor
FUNCTIONAL TEST
Supination (open door with palm down)
Cannot move
NF
Non Functional
FUNCTIONAL TEST
Pronation (open door with palm up)
5-6 times
F
Functional
FUNCTIONAL TEST
Pronation (open door with palm up)
3-4 times
FF
Functionally Fair
FUNCTIONAL TEST
Pronation (open door with palm up)
1-2 times
FP
Functionally Poor
FUNCTIONAL TEST
Pronation (open door with palm up)
Cannot move
NF
Non Functional
AROM
Flexion
140• - 150•
Patient is sitting with elbow on table
AROM
Extension
0• - 10•(hypertension)
Hypertension is normal if both sides are the same
AROM
Supination
90•
Patient is sitting with elbow on table
Ensure patient is not adducting shoulder to compensate
AROM
Pronation
80• - 90•
Patient is sitting with elbow on table
Ensure patient is not abducting shoulder to compensate
both supination and pronation, only 75⁰ of movement occurs in the forearm articulations. The remaining 15⁰ is the result of wrist action
Yes
PROM normal end feel
Flexion
Tissue approximation
PROM normal end feel
Extension
Bone to Bone
PROM normal end feel
Supination
Tissue stretch
PROM normal end feel
Pronation
Tissue stretch
How many movements during RROM
6
Flexion of elbow
Extension of elbow
Supination of elbow
Pronation of elbow
Flexion of wrist
Extension of wrist
Resting Position of Ulnohumeral Joint is
70• Flexion and 10• Supination
Resting Position of Radiohumeral Joint is
Full Extension and Full Supination
Resting Position of Superior Radioulnar Joint is
35• Supination and 70• Flexion
At 45• and 135• flexion power is at
75% of maximum
Terminal flexion loss is more disabling than
The same degree of terminal extension loss because of the need of flexion for many ADL’s
For supination the examiner should ensure that the patients shoulder is not
Adducted
For pronation the examiner should ensure that the patients shoulder does not
Abduct
Elbow extension is
The first movement lost after injury and the first regained in healing
