elbow pathology Flashcards
what nerve is damaged in a mid shaft humeral fracture
radial nerve
tendon most likely to be affected in lateral epicondylitis
ECRB
how does lateral epicondylitis present
lateral elbow pain, worse with wrist extension and pain over the lateral epicondyle
Mx of lateral epicondylitis
should be self limiting, rest, NSAIDs, can try steroid injections if not improving
-can take a year to get better
special test to test for lateral epicondylitis
cozens test
in what movement is pain worse in medial epicondylitis
wrist flexion
myotomes of upper limb
C5 - shoulder abduction
C6 - elbow flexion, wrist extension and supination
C7 - elbow extension, wrist flexion and pronation
C8 - finger flex/extend
T1 - finger abduct and adduct
tendons most likely to be effected in medial epicondylitis
pronator teres and FCR
RF of biceps tendon rupture
bicep tendinopathy, quinolone use
how does biceps tendon rupture present
pain, ‘pop’, pop eye deformity, weakness (PARTICULARLY IN SUPINATION not flex)
Dx of bicep tendon rupture
normally clinical but can do a US
Mx of bicep tendon rupture
depends if the patient wants conservative or surgical management
who does a supracondylar fracture normally occur in
children
what nerve is at risk in a supracondylar fracture
median nerve
another complication of supracondylar fracture
volkmanns contracture (Due to ischaemia of the flex muscles) + brachial artery affected –> can present with a pulseless hand so this is an emergency
