Final - Elbow Flashcards

(62 cards)

1
Q

lat humeral epi

A

extensor attachment

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2
Q

med humeral epi

A

flexor attachment

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3
Q

capitulum of humerus -

A

radiohumeral jt

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4
Q

trochlea of humerus

A

humeroulnar jt

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5
Q

head of radius

A

proximal, disc shaped, round and flat at sup end articulates with capitulum of humerus to form radio humeral jt

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6
Q

radial tuberosity

A

distal radioulnar jt and has a radial styloid process

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7
Q

proximal ulna

A

humeroulnar / trochlear jt - bw trochlea of humerus and trochlear notch of ulna

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8
Q

distal ulna

A

distal radioulnar jt with radius and has ulnar styloid process

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9
Q

normal ROM of elbow

A

touch your shoulder and extend

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10
Q

mechanics of humeroulnar jt

A

hinge - only movement in one plane

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11
Q

radiohumeral jt

A

uniaxial hinge jt for flexion and extension

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12
Q

proximal radioulnar

mechanics

A

synovial pivot
head of radius and ulna surrounded by annular lig
pronation and supination of forearm

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13
Q

mechanics of the radioulnar

A

spinning of either direction - in our elbow

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14
Q

fracture of the radius would limit motion at

A

elbow and the wrist

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15
Q

distal radioulnar articulation

A

synovial pivot
between head of ulna and ulnar notch of radius
articular/triangular fibrocarlage disc unite them
supination pronation radial moves around ulna

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16
Q

stability of elbow - 3

A

bony architecture of humerus and ulna
strong ulnar and radial collateral ligs
muscles that surround the jt

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17
Q

UCL

bands

A

ulnar/medial collateral lig - valgus test and used in throwing/overhead sports - esp poor mechanics
ant band - med epi to coronoid process of ulna - tight in extension
pos band - med humeral condyle of humerus to olecranon process - resist valgus in flex position
oblique/transverse - from olecranon process to coronoid process and resists valgus force

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18
Q

radio collateral lig

A

lat humeral epi to ulna, some fibres blend with annular, prevent distraction of radius and resis varus

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19
Q

annular

A

coronoid process around radial to coronoid process - free rotary movement

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20
Q

interosseous membrane

A

fibrous sheet between ulna and radius - syndesmosis jt of forearm
site for muscle attachment and transfer forces between radius ulna and humerus
shin splits

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21
Q

3 flexion muclses

A

biceps - supinated grip
brachialis - pronated grip
brachioradialis - neutral grip

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22
Q

2 pronation muscles

A

pronator teres and pronator quadratus

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23
Q

2 supinators

A

supinor, bieps (sup, flex, should flex) - wine uncorking muscle

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24
Q

3 main nerves at the brachial plexus

A

under collarbone and in then out of the first ribs - travel down the arm for sensation and muscular innervation - end in hands and give feelings to extremities and moves the hand
median - ant compartment (flexor/pronator), affected in carpal tunnel
ulnar - ant compartment - funny bone
radial - pos compartment (extensor/supinator)

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25
thoracic outlet syndrome
poor posture and lots of pec workouts
26
observation of elbow injuries
carrying angle and swelling
27
movement of the elbow
flextion extension supination pronation test all movements - shoulder and wrist
28
middle finger test
lateral epicondylosis - fully extended arm with flexed wrist and outstretched middle finger, light downward pressure pos - weakness and pain over lat epi
29
exercise for tennis elbow
eccentric movements of elbow extension
30
cozens test
lat epi flexed/fully extended arm, resisted wrist extension pos - pain
31
medial eipcondylitis
golfers elbow supination - resisted wrist flexion pos - pain and weakness
32
valgus stress test
UCL extended and supported at the elbow and wrist - valgus force pronated, supinate for LCL pos - laxity and pain
33
vaurs stress test
RCL slightly flexed, supported at elbow and wrist - varus force pos - laxity and pain
34
tinels sign
impingement of ulnar nerve tap ulnar notch - zaps down pos - tingling along forearm, hand and fingers
35
tennis elbow MOI S&S Management
overuse of forearm/wrist extensors for pain at lat elbow backhand athletes microtearing because of eccentric loading of extensor insidious pain, numbness/tingling, pain with movement and passive movement, localized tenderness over lap epi PIER, NSAID, brace, eccentric strengthening exercises, mechanics
36
At what weight can you repeat an exercise forever?
15% weight of 1RM
37
correct person for a job?
physical demands - what forces can they generate
38
3 ways to prevent work place injuries
change yourself - strength change the task change administrative - relief positions and reduce exposure, or switch your hands
39
racquet material
graphite composites - best in torsion and vibration controil
40
head size of racquet
midsize (95-110 square inches), oversize susceptible to arm injuries with increased torque effects of shots hit off centre
41
string tension of racquet
lower end of recommendation - higher control but more torque and vibration
42
stringing material of racquet
synthetic nylon every 6 m
43
grip size of racquet
too large/small lessen control and promote excessive wrist movement - from mid palm to tip of fingers
44
golfers elbow MOI s&s management
medial epicondylitis forceful/cont flexion and pronation - raquet sports, golf, piano for common flexor tendon micro tears due to eccentric loading and poor blood supply pain, pain with resisted forearm flexion, decreased grip strength, tight with stretching elbow and wrist flexors, may spread down forearm PIER, NSAIDS, brace, address mechanics, stretch flexor, brace for new insertion pt of muslce
45
olecranon bursitis S&S management
students elbow inflammation of bursa localized swelling, TOP for acute and septic, no TOP for bursa, pain PIER, mechanics for chronic, pad
46
3 types of bursitis
acute - direct trauma chronic - most common due to repetitive trauma septic - infection
47
UCL sprain | management
sprain or tear, overuse in throwing pain, instability, dysfunction, swelling, tingling/numbness - lack of full extension PIER, compression base, strengthen when cleared to play
48
cubital tunnel syndrome | S&S
compression, traction or irritation of ulnar nerve as it passes the cubital tunnel of medial elbow sublux nerve over medial epi, muscular compression of triceps, UCL instability, overuse in flexion or extension pain, paresthesia of 4th and 5th fingers, weak grip, snapping/popping of medial elbow, TOP esp with hyperflexion no PIER due to neurological symptoms, stretch and strengthen, MD for cortisone which reduce inflammation but makes everything lax - 3 shots/site increase chance of rupture rest and immob for 2 wks, NSAIDS, splinting,
49
dislocation of the elbow MOI S&S management
FOOSH with elbow hyperextended, twist with elbow in flexed position, olecranon extends pos deformity, swelling, pain, loss of function, lig and muscle restraining mechanism, severe pain and hemarthosis, injury to median and radial nerves and blood vessels immobilize in position found - PIER dont reduce, sling after reduction at MD restore strength and ROM when cleared - have to push
50
why elbow is often injured
nature of sport bony architecture broad ROM exposure to soft tissue damage
51
contusion | MOI
contact swell PIER, xray to r/o #
52
strains MOI S&S management
hyperextension - wrist flexors and biceps pain with AROM, point tenderness PIER, sling
53
MCL sprain MOI S&S management
hyperextension of elbow and valgus force pain, inability to throw or grasp, TOP MCL, flexor tendon injury PIER, tape to prevent hyperextension, limit motion
54
grip strength related to
whole body strength
55
Taping for elbow hyperextension
slightly flex 2 anchors above biceps 2 anchors around forearm make a fan, fill the fan and leave cubital fossa open
56
elbow osteochondritis dissecans MOI S&S management
uk, impairment of blood supply - fragmentation of articular surface - loose bodies within the jt, repetitive microtrauma or rotation extension and valgus force - radial head compression sudden pain, locking, crepitus rest, PIER, NSAIDS, cast, surgery
57
little league elbow MOI S&S Management
repetitive microtrauma from throwing, disorder of growth plate, accelerated apophyseal growth region, traction apophysitis with fragmentation of medial epicondylar apophysis - avulsion of radial head, non-union stress fracture of olecranon epiphysis flexion contracture, tightness of ant jt capsule and weakness of tricep, locking and catching, decreased ROM for pronation and supination PIER, stretch flexors and extensors, correct faulty mechanics and limit pitches
58
what body part to use in javeline
shoulders
59
pitching mechanics
finite number of throws - retrospective - injury induced by muscular fatigue
60
6 steps of pitches
wind up - initiate to rotated and striding leg is elevated and flexed stride - till when lead foot contacts ground arm cocking - begins at stride and ends at max shoulder external rotation arm acceleration - follow arm cocking and end at ball release arm decel - ball release to max shoulder internal rotation follow through - arm completes movement
61
elbow fracture MOI S&S management
foosh deformity, hemorrhage, swelling, muscle spasm, pain splint, PIER, ER
62
volkmann's contracture MOI S&S Management
serious elbow injury -> brachial/radial pulse monitored periodically - cause muscle spasm, swelling, bone pressure, inhibit blood circulation to forearm, wrist and hand permanent? greater pain in forearm when fingers are passively extended pain followed by cessation of brachial/radial pulses removing elastic tensors, casts, and elevation - MD