Elbow Pain

Question 1

A patient has chronic elbow pain associated with arthritis. What is included in management of this condition?
Select all that apply.

a. Avoidance of certain activities
b. Balanced rest and exercise
c. Long-term NSAIDs
d. Occupational therapy
e. Splinting of the elbow

Answer 1

ANS: A, B, D
Patients with arthritis may be managed by avoiding pain-causing activities, a program of balanced rest and exercise, and occupational therapy to improve function. NSAIDs are used for short periods. Splinting is not recommended.

Question 2

A patient reports elbow pain and the examiner elicits pain with resisted wrist flexion, forearm pronation, and passive wrist extension on the affected side. What is a likely cause of this pain?

a. Lateral epicondylitis
b. Medial collateral ligament instability
c. Medial epicondylitis
d. Ulnar neuritis

Answer 2

ANS: C
Medial epicondylitis will produce pain as described above. Lateral epicondylitis may result in pain with passive wrist flexion and active wrist extension.

Question 3

A 3­year­old child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do?

A. Consider maltreatment as a possible cause of injury.
B. Gently attempt a supination and flexion technique.
C. Immobilize the arm with a sling and refer to orthopedics.
D. Obtain a radiograph of the child’s right arm and elbow.

Answer 3

ANS B