Epicondylosis Flashcards

1
Q

overuse injuries of the elbow

A

lateral epicondylosis

medial epicondylosis

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2
Q

lateral epicondylosis is also called

A

tennis elbow

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3
Q

what is affected in lateral epicondylosis

A

common extenson tendon

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4
Q

common extensor tendon includes

A

ECRB

ED

EDM

ECU

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5
Q

lateral epicondylosis is a

A

vicious cycle of collagen malnutrition v. breakdown

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6
Q

contributing factors –> lateral epicondylosis

A

age

gender

physical work

activity level

extrinsic dysfxn

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7
Q

age –>contributing factors –> lateral epicondylosis

A

35-50

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8
Q

gender –> contributing factors –> lateral epicondylosis

A

female > male

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9
Q

extrinsic dysfxn –> contributing factors –> lateral epicondylosis

A

C/S

shoulder

wrist/hand

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10
Q

chief complaint –> lateral epicondylosis

A

lateral elbow pain in the epicondylar region

~1 cm distal to epicondyle

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11
Q

what makes the pain worse –> C –> lateral epicondylosis

A

wrist and finger extension

gripping (worse in pronation)

stretch into wrist flexion

dull ache –> sharp pain

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12
Q

H –> lateral epicondylosis

A

insidious onset (microtrauma)

change in activity level?

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13
Q

A –> lateral epicondylosis

A

tenderness

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14
Q

tenderness –> A –> lateral epicondylosis

A

proximal attachment of common extensor tendon

lateral epicondyle

UQ screen

movement assessment

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15
Q

UQ screen –> lateral epicondylosis

A

contributing factors –> shoulder and wrist

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16
Q

STTT –> lateral epicondylosis

A

AROM

PROM

stretching

resistance

palpation

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17
Q

AROM –> STTT –> lateral epicondylosis

A

could be painful or painless

depending on severity

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18
Q

PROM –> STTT –> lateral epicondylosis

A

pain free

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19
Q

stretching –> STTT –> lateral epicondylosis

A

may be painful d/t stretching opposing musculature

stretching into wrist flexion

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20
Q

resistance –> STTT –> lateral epicondylosis

A

pain w/ resisted wrist extension

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21
Q

palpation –> STTT –> lateral epicondylosis

A

tender over lateral epicondyle

sometimes into muscle belly

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22
Q

R –> lateral epicondylosis

A

athrokinematics

end feels

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23
Q

T –> lateral epicondylosis

A

play

tone

length

MMT

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24
Q

length –> T –> lateral epicodylosis

A

wrist extensors

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25
Q

muscle length –> wrist extensors

A

extend elbow

flex wrist

UD wrist

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26
Q

MMT –> T –> lateral epicondylosis

A

wrist

fingers

elbow

shoulder

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27
Q

special tests –> lateral epicondylosis

A

valgus/varus stress test

tinel’s sign

neurodynamics

lateral epicondylitis resisted test

lateral epicondylitis stretch test

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28
Q

differential dx –> lateral epicondylosis

A

dequervains syndrome

supinator syndrome in forearm

radial N entrapment

cervical radiculopathy

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29
Q

pain of lateral epicondylosis

A

dull

over the epicondyle

painful AROM/RROM w/ wrist extension and supination

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30
Q

ease w/ –> lateral epicondylosis

A

rest

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31
Q

how do we stretch lateral epicondylosis

A

into wrist extension

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32
Q

lateral epicondylosis has

A

no sensory loss

neurodynamics

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33
Q

radial tunnel syndrome

A

supinator syndrome

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34
Q

pain –> radial tunnel syndrome

A

sharp and shooting

~ 4-5 cm distal to epicondyle

35
Q

pain with –> radial tunnel syndrome

A

forearm supination AND wrist extension

repetitive wrist flexion &/or pronation

36
Q

ease –> radial tunnel syndrome

A

days to ease

37
Q

radial tunnel syndrome has

A

no motor loss

paresthesias

38
Q

paresthesias –> radial tunnel syndrome

A

+ neurodynamics

+ tinels

39
Q

medial epicondylosis is also called

A

golfers elbow

40
Q

what attaches to the medial epicondyle

A

common flexor tendon

41
Q

common flexor tendon

A

FCU

FCU

FDS

pronator teres

palmaris longus

42
Q

vicious cycle –> medial epicondylosis

A

collagen maturation v. breakdown

43
Q

contributing factors to medial epicondylosis

A

age

gender

75% UE

“forceful work: or overuse

activity level

extrinsic dysfxn

44
Q

age –> medial epicondylosis

A

30-50 yrs

45
Q

gender –> medial epicondylosis

A

male = female

46
Q

activity level –> medial epicondylosis

A

repetitive forearm pronation w/ wrist flexion

47
Q

extrinsic dysfxn –> medial epicondylosis

A

C/S

shoulder

wrist/hand

48
Q

chief complain –> medial epicondylosis

A

medial elbow pain

49
Q

where is the medial elbow pain –> medial epicondylosis

A

epicondylar region

50
Q

pain is worse –> medial epicondylosis

A

wrist flexion

finger flexion

forearm pronation

51
Q

progresses from –> medial epicondylosis

A

dull ache to a sharp pain

52
Q

history –> medial epicondylosis

A

insidious trauma

53
Q

insidious trauma –> medial epicondylosis

A

microtrauma

change in activity level?

54
Q

asymmetries –> medial epicondylosis

A

tenderness

55
Q

tenderness –> medial epicondylosis

A

proximal attachment of common flexor tendon

medial epicondyle

UQ screen

movement assessment

56
Q

STTT –> medial epicondylosis

A

PROM

AROM

stretching

resistance

palpation

57
Q

AROM –> STTT –> medial epicondylosis

A

could be painful or painless

depending on severity

58
Q

PROM –> STTT –> medial epicondylosis

A

pain free wrist flexion and forearm pronation

59
Q

stretching –> STTT –> medial epicondylosis

A

pain w/ wrist extension and forearm supination

60
Q

resistance –> STTT –> medial epicondylosis

A

pain w/ resisted wrist flexion &/or pronation

61
Q

palpation–> STTT –> medial epicondylosis

A

tender over medial epicondyle

sometimes into muscle belly

62
Q

R –>medial epicondylosis

A

athrokinematics

end feels

63
Q

T –>medial epicondylosis

A

play

tone

length

MMT

64
Q

muscle length –>medial epicondylosis

A

wrist flexors/pronator teres

65
Q

muscle length of wrist flexors and pronator teres –>medial epicondylosis

A

extend fingers

extend wrist

extend elbow

supinate forearm

66
Q

MMT –>medial epicondylosis

A

wrist, forearm, fingers, elbow, shoulder

67
Q

S –>medial epicondylosis

A

varus/valgus tests

tinel’s sign

neurodynamics

medial epicondylosis resisted test

medial epicondylosis stretch test

68
Q

differential dx –>medial epicondylosis

A

epicondylosis

pronator syndrome

anterior interosseous nerve syndrome

cubital tunnel syndrome

69
Q

pain –> differential dx –>medial epicondylosis

A

dull

on the epicondyle

AROM/RROM wrist flexion and pronation

70
Q

stretch –> differential dx –>medial epicondylosis

A

into wrist extension

71
Q

motor –> differential dx –>medial epicondylosis

A

affected by pain

72
Q

sensory–> differential dx –>medial epicondylosis

A

no sensory loss

73
Q

pain –> differential dx –>pronator syndrome

A

dull

proximal volar arm

74
Q

pain with… –> differential dx –> pronator syndrome

A

pressure to pronator teres

~ 4 cm distal to antebrachial crease

75
Q

motor –> differential dx –> pronator syndrome

A

thumb

index

middle finger

76
Q

sensory loss –> differential dx –> pronator syndrome

A

palmar surface index

middle

ring

+ neurodynamics

77
Q

pain –> differential dx –> anterior interosseous syndrome

A

sharp

proximal forearm

painful resisted pronation

78
Q

ease –> differential dx –> anterior interosseous syndrome

A

days to ease

79
Q

sensory –> differential dx –> anterior interosseous syndrome

A

no sensory loss

  • neurodynamics
80
Q

motor –> differential dx –> anterior interosseous syndrome

A

FPL , lateral FDP

“ok” sign

81
Q

pain –> differential dx –> cubital tunnel syndrome

A

sharp, achy pain

proximal forearm

ulnar side of hand

w/ elbow flexion

82
Q

sensory –> differential dx –> cubital tunnel syndrome

A

paresthesia –> ulnar side of hand

+ neurodynamics

83
Q

motor –> differential dx –> cubital tunnel syndrome

A

FDP weakness

ulnar intrinsics