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Ortho Exam 2 > Epicondylosis > Flashcards

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
muscle length --> wrist extensors
extend elbow flex wrist UD wrist
26
MMT --> T --> lateral epicondylosis
wrist fingers elbow shoulder
27
special tests --> lateral epicondylosis
valgus/varus stress test tinel's sign neurodynamics lateral epicondylitis resisted test lateral epicondylitis stretch test
28
differential dx --> lateral epicondylosis
dequervains syndrome supinator syndrome in forearm radial N entrapment cervical radiculopathy
29
pain of lateral epicondylosis
dull over the epicondyle painful AROM/RROM w/ wrist extension and supination
30
ease w/ --> lateral epicondylosis
rest
31
how do we stretch lateral epicondylosis
into wrist extension
32
lateral epicondylosis has
no sensory loss neurodynamics
33
radial tunnel syndrome
supinator syndrome
34
pain --> radial tunnel syndrome
sharp and shooting ~ 4-5 cm distal to epicondyle
35
pain with --> radial tunnel syndrome
forearm supination AND wrist extension repetitive wrist flexion &/or pronation
36
ease --> radial tunnel syndrome
days to ease
37
radial tunnel syndrome has
no motor loss paresthesias
38
paresthesias --> radial tunnel syndrome
+ neurodynamics + tinels
39
medial epicondylosis is also called
golfers elbow
40
what attaches to the medial epicondyle
common flexor tendon
41
common flexor tendon
FCU FCU FDS pronator teres palmaris longus
42
vicious cycle --> medial epicondylosis
collagen maturation v. breakdown
43
contributing factors to medial epicondylosis
age gender 75% UE "forceful work: or overuse activity level extrinsic dysfxn
44
age --> medial epicondylosis
30-50 yrs
45
gender --> medial epicondylosis
male = female
46
activity level --> medial epicondylosis
repetitive forearm pronation w/ wrist flexion
47
extrinsic dysfxn --> medial epicondylosis
C/S shoulder wrist/hand
48
chief complain --> medial epicondylosis
medial elbow pain
49
where is the medial elbow pain --> medial epicondylosis
epicondylar region
50
pain is worse --> medial epicondylosis
wrist flexion finger flexion forearm pronation
51
progresses from --> medial epicondylosis
dull ache to a sharp pain
52
history --> medial epicondylosis
insidious trauma
53
insidious trauma --> medial epicondylosis
microtrauma change in activity level?
54
asymmetries --> medial epicondylosis
tenderness
55
tenderness --> medial epicondylosis
proximal attachment of common flexor tendon medial epicondyle UQ screen movement assessment
56
STTT --> medial epicondylosis
PROM AROM stretching resistance palpation
57
AROM --> STTT --> medial epicondylosis
could be painful or painless depending on severity
58
PROM --> STTT --> medial epicondylosis
pain free wrist flexion and forearm pronation
59
stretching --> STTT --> medial epicondylosis
pain w/ wrist extension and forearm supination
60
resistance --> STTT --> medial epicondylosis
pain w/ resisted wrist flexion &/or pronation
61
palpation--> STTT --> medial epicondylosis
tender over medial epicondyle sometimes into muscle belly
62
R -->medial epicondylosis
athrokinematics end feels
63
T -->medial epicondylosis
play tone length MMT
64
muscle length -->medial epicondylosis
wrist flexors/pronator teres
65
muscle length of wrist flexors and pronator teres -->medial epicondylosis
extend fingers extend wrist extend elbow supinate forearm
66
MMT -->medial epicondylosis
wrist, forearm, fingers, elbow, shoulder
67
S -->medial epicondylosis
varus/valgus tests tinel's sign neurodynamics medial epicondylosis resisted test medial epicondylosis stretch test
68
differential dx -->medial epicondylosis
epicondylosis pronator syndrome anterior interosseous nerve syndrome cubital tunnel syndrome
69
pain --> differential dx -->medial epicondylosis
dull on the epicondyle AROM/RROM wrist flexion and pronation
70
stretch --> differential dx -->medial epicondylosis
into wrist extension
71
motor --> differential dx -->medial epicondylosis
affected by pain
72
sensory--> differential dx -->medial epicondylosis
no sensory loss
73
pain --> differential dx -->pronator syndrome
dull proximal volar arm
74
pain with... --> differential dx --> pronator syndrome
pressure to pronator teres ~ 4 cm distal to antebrachial crease
75
motor --> differential dx --> pronator syndrome
thumb index middle finger
76
sensory loss --> differential dx --> pronator syndrome
palmar surface index middle ring + neurodynamics
77
pain --> differential dx --> anterior interosseous syndrome
sharp proximal forearm painful resisted pronation
78
ease --> differential dx --> anterior interosseous syndrome
days to ease
79
sensory --> differential dx --> anterior interosseous syndrome
no sensory loss - neurodynamics
80
motor --> differential dx --> anterior interosseous syndrome
FPL , lateral FDP "ok" sign
81
pain --> differential dx --> cubital tunnel syndrome
sharp, achy pain proximal forearm ulnar side of hand w/ elbow flexion
82
sensory --> differential dx --> cubital tunnel syndrome
paresthesia --> ulnar side of hand + neurodynamics
83
motor --> differential dx --> cubital tunnel syndrome
FDP weakness ulnar intrinsics

Ortho Exam 2 (17 decks)

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