Elbow Disorders Flashcards
define epicondylitis
an injury occurring due to overuse or repetitive movements - often results in tendinopathy
describe lateral epicondylitis
a more common form of epicondylitis
- occurring due to microtears of forearm muscles at insertion point of lateral epicondyle on humerus
- known as tennis elbow
describe medial epicondylitis
- occurs as a result of microtears of the forearm muscles at insertion point of medial epicondyle of the humerus
- known as golfers elbow
risk factors of epicondylitis
middle age PMH of epicondylitis history of repetitive activities (esp with poor movement) new activities requiring elbow movement heavy lifting/heavy tools
clinical features of epicondylitis
elbow pain on flexion and extension + made worse on repetitive activity
decreased grip strength
tenderness over epicondyle and surrounding area
specifics of medial epicondylitis
produces pain on resisted pronation
management of epicondylitis
rest and relaxation
guided physiotherapy
advise avoiding heavy activity
simple analgesia
specifics of lateral epicondylitis
pain on resisted extension of wrists and digits
common elbow fractures
occur to the olecranon process either directly as a result of a fall or indirectly when falling on an outstretched hand
investigations of elbow fracture
plain XR of joint
management of non-displaced elbow fractures
immobilisation with sling for 4-6wks
management of displaced elbow fractures
surgical fixation
common causes of an ulnar nerve injury
elbow pathology (fraction or dislocation) impingement of the wrist (Gunyon's Canal)
clinical features of ulnar nerve injuries
weakness of intrinsic hand muscles (Claw Hand)
finger weakness in abduction and adduction
loss of sensation over 5th digit
Froment’s sign +ve
unable to perform a peace sign
define cubital tunnel syndrome
a compression of the ulnar nerve as it passes through the cubital tunnel at the elbow