elbow joint Flashcards
the elbow anatomy consist of
humeroulnar
humeroradial
proximal radioulnar
what serves as a proprioception of the joint
joint capsules
what is the carrying angle and what is the carrying angle for men and women
the distal humerus medial angle
men..5
women is 10-15
the static stabilizators of the elbow
primary medial stabilizator
primary lateral stabilizator
annular ligament ….it supports the radial head
interserouss membrane… prevents the ulna and radius from separating
what are the dynamic stabilazators of the elbow
biceps triceps brachialis r brachoradialis anconeus
what are the degree for functional movemnt of the movements
30 perc limitation of extension
130 perc flexion and 50 perc supination
50 perc supination and pronation
when clinicly evaluating the cervical region what should we look out for
radiculopathy
most affected muscle in tennis elbow is
extensor carpi radialis brevis
but extensor carpi radialis longus and extensor carpi radialis are also affected
best electrotherapy and exercises given to someone with lateral epicondilities
ultra sound with resistive exercises
eccentric exercises
manual therapy approach for tennis elbow
cyriax
myofascial release
mobilization with movement
kinesiotaping
next is to strengthen the whole arm
flexion and supination of the wrist to prevent stress for the lateral epicondyle then extension and pronation also theraband can be used stabilization with a ball weight crawling passive stretches
next phase after whole arm strengthning is
return to activity phase
this involves strengthning exercise or specific activity streghtning
also grip strengthening is imp
what happens in the ligamentous injuries
fall happening on your elbow
the forearm is supinated with a hyper extension
first the lateral then medial structures are affected
the dislocation is mostly in the posterior side
medial collateral ligament
they are the valgus stabilizers of the elbow
the stabilizer muscles in the mcl
flexor carpi ulnaris amd flexor digitorium superficilais
what position is causes the valgus laxity
forearm neutral position
the position where the elbow is in a locked position is
in the supine position
LCL INJURY PHASES OF
WEEK 0-4…. passive elbow flexion in gravity assisted with forearm pronated..
immobiliztaion … elbow is passively flexed to 90 deg and pronated
4-6 week.. flex and ext in neutral position and pronation and supunation in 90 deg elbow flexed
6-12 week…strenghtening phase.. first pronation then neutral position
mcl injury healing phase
0-4 weeks.. passive elbow flexion then supunation in gravity assisted then immobilzation in elbow 90 deg flex then forearm supination
4-6….. wrist flex.. ext and ulna deviation in flexed elbow
6-12 … stenghtning phase.. firstly supination then the neutral
the second most common entrapment neuropathy after carpal tunnel syndrome
ulnar neuropathy
xteristics of cubital tunnel syndrome
parastesia on the 4th and 5th finger
sensory symptoms in prolonged elbow flexion
atrophy of the muscles innervated by the ulnar nerve in severe cases
pt after immobilization
cold
pnf stretching
mobilization
dynamic splint
guides to improve the rom at the elbow
rom exercises should be done everyday
exercises should be done in normal synergy
dynamic orthosis should be used during day and night
arthrokinetic evaluation
joint traction
ulna medial glide
ulna lateral glide
dorsal and volar glide
