Elbow OSCE

Question 1

what to start the exam with?

Answer 1

introduce self, wash hands, explain procedure and gain consent

Question 2

how to structure musculoskeletal exams?

Answer 2

look, feel, move. special tests.

Question 3

what to look at on the elbow

Answer 3

front, side and back.
symmetry, carrying angle. swelling, deformity, wasting, skin, scars, psoriasis, nodules

Question 4

what to feel in the elbow

Answer 4

temperature
bones: radius, ulna, humerus (+90 flexion)

Question 5

special tests for tennis elbow

Answer 5

extend wrist against resistance (pronated)
pain at lateral epicondyle is positive for tennis elbow

Question 6

golfers elbow

Answer 6

flex wrist against resistance (supinated)
golfers elbow: pain at medial epicondyle

Question 7

extra tests/ questions

Answer 7

is the function of the joint compromised? (hand to mouth)
examine joint above and below (shoulder and wrist)
upper limb neuro and vasc exam