Injuries to Elbow

Question 1

Direct blow

Answer 1

contusion MOI

Question 2

Pain; point tender; swelling; transitory paralysis;
may result in olecranon bursitis

Answer 2

S/S of contusions

Question 3

PRICEMM; padding; aspiration (olecranon bursitis); x-ray

Answer 3

TX of contusions

Question 4

Most will occur posteriorly;
most frequently dislocated joint in children under 10 years

Answer 4

Dislocation of Elbow DEF

Question 5

Fall on outstretched hand;
hyperextended elbow;
severe twist

Answer 5

Dislocation of Elbow MOI

Question 6

Pain; loss of function; deformity; swelling

Answer 6

Dislocation of Elbow S/S

Question 7

Check distal pulse/capillary refill;
immobilize;
refer to MD;
x-ray

Answer 7

Dislocation of Elbow TX

Question 8

“valgus extension overload syndrome”

Answer 8

Sprains

Question 9

indirect trauma
overuse

Question 10

direct blow
fall on outstretched arm or flexed elbow
indirect force (throwing motion)

Answer 10

fractures moi

Question 11

pain
point tender
swelling
deformity
loss of function

Answer 11

s/s fractures

Question 12

medical emergency
immobilize
refer to MD
check distal pulse/capillary refill

Answer 12

Fracture TX

Question 13

joint mice

Answer 13

osteochondritis Dissecans DEF

Question 14

repetitive force from throwing motion

Answer 14

Osteochondritis Dissecans MOI

Question 15

Pain
Swelling
loss of function
loss of ROM
transient locking
asymptomatic

Answer 15

s/s of osteochondritis dissecans

Question 16

PRICEMM
NSAIDs
refer to MD
may require surgery is signs/symptoms persist

Answer 16

Osteochondritis Dissecans

Question 17

tennis elbow

Answer 17

Lateral epicondylitis

Question 18

repetitive stress resulting from improper grip in backhand or volley

Answer 18

Lateral epicondylitis MOI

Question 19

pain
point tender over the lateral epicondyle
swelling
inflammation
weakness in wrist
extension & supination

Answer 19

s/s of lateral epicondylitis

Question 20

PRICEMM
NSAIDs

stretching

strengthening (careful of irritation)

ultrasound/phonophoresis = iontophoresis -

bracing (armband aircast)

change of grip & mechanics

Answer 20

TX of Lateral epicondylitis

Question 21

Lateral Epicondylitis DIAG (2)

Answer 21

wrist extension test
shaking hands (gripping motion)

Question 22

Little league elbow
golfer’s elbow
pitcher’s elbow

Answer 22

Medial epicondylitis DEF

Question 23

extreme valgus torques of the elbow

overuse***, often associated w/ throwing a curve ball or serving in tennis

Answer 23

medial epicondylitis moi

Question 24

pain
point tender
over medial epicondyle swelling
inflammation

Answer 24

s/s medial epicondylitis

Question 25

PriceMM
NSAIDs
exercise

Answer 25

medial epicondylitis TX

Question 26

4 complications of dislocated elbow

Answer 26

1. ligament tears
2. fractures
3. volkmann’s contracture
4. calcium formation

Question 27

brachial artery and/or median nerve resulting in permanent flexion of fingers and/or wrist (ape hand)

Answer 27

volkmann’s contracture

Question 28

permanent flexion of the fingers and/or wrist

Answer 28

ape hand