Elbow Pathology & Special Tests Flashcards

1
Q

medial epicondylalgia (golfers elbow)

A

Pain over medial epicondyle (pronators teres, FCR, FCU, FD) that worsens with squeezing activities and repetitive pronation

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2
Q

medial epicondylalgia (golfers elbow) special tests

A

-Palpation Tenderness along medial epicondyle and common Flexor tendon/ muscles
-Discomfort with elbow extension with wrist extension both active and passive ROM= Stretch
-Pain with resisted wrist flexion and forearm pronation

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3
Q

Lateral epicondylagia (tennis elbow)

A

Pain over lateral epicondyle (ECRB, ECRL, ED, EDM) that worsens with grip or repetitive finger flexion

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4
Q

Lateral epicondylagia (tennis elbow) special tests

A

-Pain on palpation of the common extensor tendon especially over ECRB
-Pain with resisted wrist extension (Cozen’s test)
-Pain on stretch of the wrist extensors (Mill’s test)
-Grip strength with dynamometer painful and limited

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5
Q

medial valgus stress overload

A

-Pain over medial elbow and posterior aspect of olecranon
-Increased valgus of elbow
-Pronator mass hypertrophy
-Loss of extension rom

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6
Q

medial valgus stress overload special tests

A

-Pain on palpation
-Pain with valgus stress at elbow

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7
Q

MCL tear (partial/full)

A

-Pain along medial elbow
-Swelling
-Bruising

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8
Q

MCL tear (partial/full) special tests

A

-Palpation tenderness medial elbow
-Excessive movement and /or pain valgus mobility
-Increased mobility and/or pain with moving valgus stress test

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9
Q

loose body (olecranon fracture or osteoarthritis)

A

-Pain
-Stiffness
-Catching/locking (Unable to fully extend elbow)

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10
Q

loose body (olecranon fracture or osteoarthritis) special tests

A

-May be able to reproduce locking
-Dependent on subjective history and r/o other dysfunction

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11
Q

fracture

A

-Pain
-Swelling
-Loss of ROM

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12
Q

fracture special tests

A

-4 way Rom test
-Elbow extension test

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13
Q

Cubital tunnel syndrome

A

Numbness and tingling ulnar nerve distribution distal to elbow
- Positional complaints
- Trauma to elbow region
- Repetitive elbow flexion tasks
- Valgus stress

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14
Q

cubital tunnel syndrome special tests

A

-Atrophy of muscles supplied by ulnar nerve (FCU, FDP 4 and 5, Hypothenar m., ADD pollicis, lumbrical 4 and 5, dorsal and palmar interossei)
-Palpation tenderness ulnar groove
-Pressure provocation test
-Flexion test
-Combined pressure provocation and flexion test
-Tinels sign

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15
Q

Little league elbow

A

-Medial sided elbow pain
-Decreased throwing speed or distance
-Point tenderness
-Effusion
-Flexion contracture (noted up to 15 degrees)

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16
Q

Little league elbow special tests

A

-Palpation Pain
-Change in carrying angle
-Limited elbow extension

17
Q

bicep tendon rupture

A

-Weakness
-Swelling
-Visible bruising
-Gap may be noticed

18
Q

bicep tendon rupture special tests

A

-Bicep squeeze test
-Bicipital aponeurosis flex test
-Hook Test + Passive forearm pronation test +Biceps crease interval

19
Q

pulled elbow (nursemaids elbow)

A

-Painful movement of elbow including pronation and supination

20
Q

pulled elbow (nursemaids elbow) special tests

A

-Limited pronation and supination of forearm

21
Q

MEDIAL EPICONDYLALGIA. (GOLFER’S ELBOW) RISK FACTORS

A

Overuse syndrome associated with repetitive gripping

22
Q

LATERAL EPICONDYLALGIA
(TENNIS ELBOW) RISK FACTORS

A

Overuse syndrome, often associated with repetitive finger flexion or isometric stabilization of wrist with grip, Often associated with C5 pathology

23
Q

MEDIAL VALGUS STRESS OVERLOAD RISK FACTORS

A

Associated with overhead athletes

24
Q

MCL TEAR (PARTIAL/ FULL) RISK FACTORS

A

Trauma with valgus stress or repetitive stress (throwing) - May have heard a pop

25
Q

LOOSE BODY RISK FACTORS

A

Osteoarthritis, Olecranon fracture

26
Q

FRACTURE RISK FACTORS

A

Blunt trauma

27
Q

CUBITAL TUNNEL SYNDROME RISK FACTORS

A

Overuse syndrome associated with compression at the elbow, persistent elbow flexion and/or tensile force with valgus stress

28
Q

LITTLE LEAGUE ELBOW RISK FACTORS

A

Overuse injury involving growth plate of humerus, Associated with baseball

29
Q

BICEP TENDON RUPTURE RISK FACTORS

A

Age > 30, heavy lifting

30
Q

PULLED ELBOW (NURSEMAIDS ELBOW) RISK FACTORS

A

Radial head subluxation, children <5 y/o, pulled by arm