ELBOW LECTURE Flashcards

1
Q

Lateral Epicondylitis aka

A

Tennis Elbow

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2
Q

What is Lateral Epicondylitis thought to begin with?

A

Tearing of extensor carpi radialis brevis

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3
Q

What lateral epicondylitis extend to?

A

Extensor digitorum communis or extensor carpi radialis longus

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4
Q

What is the mechanism of injury for Lateral Epicondylitis?

A

Wrist extension, radial deviation, supination

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5
Q

Types of patients you’ll see for lateral epicondylitis?

A

Carpenters, plumbers, and maids

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6
Q

What would you do to evaluate lateral epicondylitis?

A

palpatory tenderness, ortho tests, radiographs may demonstrate calcification (25%)

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7
Q

Medial epicondylitis aka?

A

Golfer’s elbow/ little leaguer’s elbow

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8
Q

What is the etiology of medial epicondylitis?

A

Tendinopathy of wrist flexors and pronator teres at origin

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9
Q

What types of patients will you have for medial epicondylitis?

A

carpenters, plumbers, maids

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10
Q

Upon evaluation of medial epicondylitis, what will you notice?

A

Palpatory tenderness, ortho tests, radiographs may demonstrate calcification

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11
Q

What also may coexist with medial epicondylitis?

A

Ulnar neuropathy may co-exist

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12
Q

What is the treatment for Epicondylitis?

A

Initially, treatment involves reducing symptoms of pain and inflammation through rest and applying ice or cold therapy

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13
Q

What would you do after the initial phase of Epicondylitis?

A

Gradually increase the load through the elbow through exercises to a point where normal training and completion can be resumed

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14
Q

When should you use Ice and Compression?

A

In the first 72 hours post injury, you should apply the principles of P.R.I.C.E. (Protection, Rest, Ice, Compression and Elevation)

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15
Q

Apply a cold compression wrap for no more than ________ minutes as the injured tissues are very close to the skin

A

11 minutes

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16
Q

What type of protection is used in the treatment of epicondylitis?

A

Wearing a special elbow brace or support can help reduce the strain on the tendon enabling healing to take place

17
Q

How does wearing an elbow brace work?

A

By applying compression around the upper arm which puts pressure on the injured tendon, changing the way forces transmitted through it allowing the injured tissues to rest

18
Q

What is probably the most important part of treatment and is often difficult due to compliance issue?

A

REST

19
Q

When should the strengthening exercises be performed?

A

As soon as pain allows and then continued until and after full fitness has been achieved

20
Q

What are other conservative therapies for epicondylitis?

A

ultrasound, EMS, cold laser, OTC’s, NSAIDs, Steroid injections