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Elbow Functional/Special Tests Flashcards

1
Q

DDx of Elbow Pain

A

-Tendinopathy
-Instability
-Fracture/Dislocation
-Neurovascular Injury
-Bursitis
-Non- MSK

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2
Q

Elbow Observations

A

-Posture
-Willingness to move
-Shoulders level: atrophy, flattening of deltoid (ant dislocation)
-Scapula: winging or deformities
-Dominant arm: lower shoulder
-Muscle spasms, wasting
-Carrying angle

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3
Q

Contraindications for Manual Therapy

A

-infection
-Fever
-Cancer
-Acute Circulatory Condition
-Open Wound
-Fracture
-Hematoma
-Advanced DM
-Hypersensitivity
-Abnormal Endfeel
-RA
-Cellulitis
-Constant, Severe pain
-Extensive radiation of pain
-Condition not evaluated

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4
Q

UQ Scan

A
  1. Vitals (HR and BP)
  2. CNs (optional)
  3. Observation: posture, plumb line, head, face, neck, mouth
  4. Gait: look for gross abnormalities
  5. Clear the spine
  6. UE ROM: All 6 w/ overpressure
  7. Dermatomes (C4-T2)
  8. Myotomes (C5-T1)
  9. DTR: bicep, brachioradialis, tricep
  10. UMN Testing: Hoffman’s, Babinski, Lhermitte
  11. Upper Limb Tension Testing (Median)
  12. Pulses (carotid, axillary, brachial, radial, ulnar) (optional)
  13. Thyroid (optional)
  14. Lymph Nodes (neck, and axilla) (optional)
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5
Q

Median Nerve ULTT 1

A
  1. Use elbow to depress scap
  2. Abduct
  3. Extend wrist and fingers
  4. ER
  5. Elbow extension
  6. Lat sidebending

+ Findings: differences btw sides, distant component, reproduction of s/s

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6
Q

Contraindications for Neurodynamic Mobilizations

A

-Recent repair
-Malignancy
-Active Inflammatory Disorders
-Acute Inflammatory Demyelinating Disorders

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7
Q

Radial Nerve ULTT 2

A
  1. Use hand to depress scap
  2. GH IR
  3. Flexion wrist and fingers
  4. Forearm pronation
  5. Elbow extension
  6. GH ABD
  7. Lat sidebending

+ Findings: differences btw sides, distant component, reproduction of s/s

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8
Q

Ulnar Nerve ULTT 3

A
  1. Use hand to depress scap
  2. Abduct
  3. GH ER
  4. Forearm pronation
  5. Extend wrist and fingers
  6. Elbow flexion
  7. Lat side bending

+ Findings: differences btw sides, distant component, reproduction of s/s

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9
Q

Elbow AROM Exam

A

-Flexion: 140-150 deg
-Extension: -10-0
Capsular Pattern: Flx > Ext

overpressure if pain-free
Resisted test in mid-range EVEN if painful

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10
Q

Elbow Resisted ROM

A

-hold for 5s

Elbow: flx/ext
Sup/pro
Wrist: flx/ext/udev/rdev
Fingers: flx/ext

Strong; painless
Strong; painful
Weak; painless
Weak; painful

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11
Q

Palpation

A

Medial:
-Medial epi
-joint line
-ulnar nerve
-UCL
-Pronators and Flexors
-olecranon

Lateral:
-lateral epi
-Joint line
-radial head
-RCL
-annular lig
-wrist extensors

Anterior:
-Biceps/brachialis/brachiorad

Posterior:
-triceps
-bursa

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12
Q

Elbow Hx: Subjective

A

-Pain (duration, quality and behavior/other pain)
-Neck/back issues
-Movement issues
-MOI (traumatic/overuse/change in activities)
-Work
-Handedness
-Aggs/Eases
-Duration
-Age

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13
Q

Elbow Screening Questions

A

-Trauma
-OA or steroids or RA
-Head motions
-Movement of wrist
-Infection/wounds
-weakness

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14
Q

Carrying Angle

A

-valgus angulation at elbow

Males: 11-14
Females: 13-16

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15
Q

Pain with Resisted Testing: Flexion

A

-biceps
-brachialis
-Brachioradialis
-wrist extensors

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16
Q

Pain with Resisted Testing: Extension

A

-triceps/anconeus

17
Q

Pain with Resisted Testing: Supination

A

-biceps
-wrist extensors
-radial nerve
-supinator

18
Q

Pain with Resisted Testing: Pronation

A

-wrist flexors
-median nerve
-pronator teres
-pronator quadratus

19
Q

Pain with Resisted Testing: Wrist Ext

A

-wrist extensors
-radial nerve

20
Q

Pain with Resisted Testing: Wrist Flx

A

-wrist flexors

21
Q

Humero-Ulnar Joint Play/Mobilizations

A

OPP: 70 deg flx; 10 sup

Distraction:
1. Pt elbow flx and sup
2. PT stabilizes humerus and scoop/pull on medial side

Medial Glide (Valgus/Ext):
1. Pt elbow flx and sup
2. Pt stabilizes humerus and pushes on lateral side of radius into ulna medially

Lateral Glide (Varus/Flx):
1. Pt elbow flx and sup
2. Pt stabilizes humerus and pushes on medial side of ulna laterally

22
Q

Humero-Radial Joint Play/Mobilizations

A

OPP: full ext; full sup

Dorsal Glide (Ext):
1. Pt elbow in ext and sup
2. PT in book-end grip on radius mobing downward; perpendicular to joint

Volar Glide (FLX):
1. Pt elbow in ext and sup
2. PT in book-end grip on radius mobing upward; perpendicular to joint

23
Q

Proximal Radio-Ulnar Joint Play/Mobilizations

A

OPP: 70 deg flx; 35 sup
-Convex on Concave

Dorsal Glide (PRO):
1. Pt elbow in flx and sup
2. PT in pinch grip on radius mobing downward

Volar Glide (SUP):
1. Pt elbow in flx and sup
2. PT in pinch grip on radius mobing upward

MSK (45 decks)

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