Elbow Instability Flashcards by Victoria Caridi

Q

one source of elbow instability

A

ulnar (medial) collateral ligament sprain

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Q

what are UCL sprain usually d/t

A

chronic valgus and ER forces

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Q

what causes chronic valgus and ER forces

A

overhead throwing

tennis serve

volleyball

baseball

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Q

if the UCL sprain is traumatic

A

FOOSH

injury consisting of tensile loading into valgus &/or ER

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Q

where does the UCL lie

A

medial epicondyle to coronoid process and olecranon

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Q

UCL is the

A

primary restraint to valgus force

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Q

when is the UCL taught

A

through entire ROM

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Q

where is the main restraint –> UCL

A

at 90 degrees of elbow flexion

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Q

UCL provides resistance to

A

valgus stress

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Q

chief complaint –> elbow instability

A

pain

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Q

pain –> elbow instability

A

medial elbow

lateral elbow

distally

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Q

medial elbow –> pain –> elbow instability

A

~ 2 cm distal to epicondyle

stresses lax ligament

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Q

lateral elbow –> pain –> elbow instability

A

compression of H/U joint

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Q

distally –> pain –> elbow instability

A

ulnar nerve irritation

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Q

history –> elbow instability

A

macrotrauma

microtrauma

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Q

macrotrauma –> history –> elbow instability

A

FOOSH

Q

microtrauma–> history –> elbow instability

A

repetitive valgus force

throwing athletes

Q

asymmetries –> elbow instability

A

increased carrying angle

tenderness to palpation

Q

R –> elbow instability

A

elbow

shoulder

Q

elbow –> R –> elbow instability

A

PROM and AROM = WNL

RROM = pain free and strong

arthrokinematics = excessive lateral tilt of ulna

Q

shoulder –> R –> elbow instability

A

assess ER and IR

GIRD

Q

T –> elbow instability

A

play

tone

strength

length

Q

play –> T –> elbow instability

A

WNL

Q

tone –> T –> elbow instability

A

WNL

may be increased –> muscles crossing medial elbow

Q

strength –> T –> elbow instability

A

WNL

assess shoulder

Q

length –> T –> elbow instability

A

WNL

Q

S –> elbow instability

A

varus/valgus stress tests

tinels sign

neurodynamics

lateral and medial epicondylitis resisted and stretch tests

Q

conservative management

A

pt education

PRICE

ROM

flexibility

strengthening

throwing mechanics

throwing frequency

Q

ROM –> conservative management

A

esp extension

Q

flexibility -> conservative management

A

flexor/pronator mass

Q

strengthening -> conservative management

A

dynamic stabilizers

eccentrics

Q

dynamic stabilizers -> conservative management

A

shoulder

scapulothoracic

Q

eccentrics -> conservative management

A

wrist flexors

forearm pronators

Q

throwing mechanics-> conservative management

A

LE’s