Mobs and Manips For Elbow Flashcards
How do you do short axis humeroulnar distraction? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine
PT position: on knee, or low done at pt’s side
Arm position: at side ABD maybe 20 deg
First hand: distal humerus
Second hand: on very proximal ulna, distal to jt line
Action: pull ulna away from humerus, remembering the jt surface is at a 45 deg angle (so “45 deg less flexion than ulnar shaft”)
How do you do a humeroulnar medial glide? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine
PT position: btw pts arm and pts trunk, you cradle their forearm
Arm position: elbow slightly flexed with arm ABD because you are in btw
First hand: very distal, medial humerus, basically the inside of the elbow
Second hand: lateral side of proximal radius
Action: glide ulna in a medial direction, indirectly through the radius (push medially on the radius.)
What does a humeroulnar medial glide treat?
Medial epicondylalgia
How do you do a humeroulnar lateral glide?
Pt position: supine
PT position: at pts side, you cradle their forearm
Arm position: at side, cradled forearm
First hand: distal lateral humerus (really elbow)
Second hand: medial proximal ulna
Action: glide ulna laterally
What does a humeroulnar lateral glide treat?
lateral epicondylalgia
How do you do a medial humeroulnar gap? ("medial ulnar gapping")
Pt position:
PT position:
Arm position:
First hand:
Second hand:
Action:Pt position: short sitting
PT position: infront of and a little to the outside
Arm position: pulled away from body, flexed almost to 90
First hand: around entire dorsal and proximal part elbow with big hands (cradling elbow from back but on humerus since that is the bone that will receive the force) AND more on the lateral side
Second hand: at wrist
Action: applying force medially to shove the elbow into a valgus stretch
What does a medial humeroulnar gap treat? (and what ligament is being stretched?)
Medial epicondylalgia,
medial collateral
How do you do a lateral gap? ("lateral ulnar gapping")
Pt position:
PT position:
Arm position:
First hand:
Second hand:
Action:Pt position: short sitting
PT position: infront of and on inside of arm to be worked on
Arm position: pulled away from body, flexed almost to 90
First hand: around entire dorsal and proximal part elbow with big hands (cradling elbow from back but on humerus since that is the bone that will receive the force) AND more on the medial side
Second hand: wrist
Action: applying force laterally to shove the elbow into a varus stretch
What does a lateral gap treat?
lateral epicondylalgia
lateral collateral
How do you do a "short axis elbow" distraction? from list/video Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine PT position: at pt's side, get low Arm position: 20 ABD Both Hands: finger basket around proximal forearm Action: pull FA distally
How do you do a humeroradial distraction? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine
PT position: pts side, facing upward (like you are looking at their face)
Arm position: ABD maybe 20, elbow straight or flexed for more aggressive glide
First hand: distal humerus
Second hand: wrist
Action: move forearm down and out laterally to try to distract the H-R jt
how do you do a humeroradial posterior/dorsal glide? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine
PT position: at side
Arm position: straight at side, INTERNALLY rot, you will be looking at the dorsal part of their hand
First hand: posterior side of distal humerus
Second hand: anterior side of proximal radius
Action: stabilize humerus, glide radius in a posterior/dorsal direction (toward you)
What does a humeroradial posterior/dorsal glide restore?
restores elbow extension
how do you do a humeroradial anterior/ventral glide? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: supine
PT position: at side
Arm position: straight at side, INTERNALLY rot, you will be looking at the dorsal part of their hand
posterior side of distal humerus
Second hand: anterior side of proximal radius
Action: stabilize humerus, glide radius in a anterior/ventral direction (away from you)
What does a humeroradial anterior/ventral glide restore?
restores elbow flexion
Describe the elbow joint and roll/slide combo
concave radius on convex humerus HR
concave ulna on convex humerus HU
proximal and distal RU joints
roll and glide same (concave on convex)
How do you do a posterior/dorsal glide of the proximal radius? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: sitting with FA resting on the table
PT position: at side, facing the jt post surface
Arm position: straight
First hand: proximal ulna from posterior side (heel of your hand touches the back of the pt’s elbow)
Second hand: radial head anteriorly
Action: glide radial head in posterior direction
What does a posterior/dorsal glide of the proximal radius restore?
FA pronation (T)
How do you do a anterior/ventral glide of the proximal radius? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: sitting with FA resting on the table
PT position: at side, facing the jt ant surface
Arm position: straight
First hand: proximal ulna from anterior side (heel of your hand touches the “white crook” of the pt’s elbow)
Second hand: radial head posteriorly
Action: glide radial head in anterior direction
What does a anterior/ventral glide of the proximal radius restore?
FA supination (T)
How do you do a posterior/dorsal glide of the DISTAL radius? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: sitting with FA resting on the table
PT position: at side, facing the jt ant surface (white, soft part of wrist)
Arm position: straight
First hand: wrapped around the distal ulna with the heel of your palm on the anterior/soft-white surface of wrist
Second hand: wrapped around the distal radius with the heel of your palm on the anterior/soft-white surface of wrist
Action: glide distal radius in posterior direction
What does a posterior/dorsal glide of the distal radius restore?
FA supination (T)
How do you do a anterior/ventral glide of the distal radius? Pt position: PT position: Arm position: First hand: Second hand: Action:
Pt position: sitting with FA resting on the table
PT position: at side, facing the jt ant surface (white, soft part of wrist)
Arm position: straight
First hand: wrapped around the distal ulna with the heel of your palm on the anterior/soft-white surface of wrist
Second hand: wrapped around the distal radius with the heel of your palm on the anterior/soft-white surface of wrist
Action: glide distal radius in anterior direction
What does a anterior/ventral glide of the distal radius restore?
FA pronation (T)
s
Pt position: PT position: Arm position: First hand: Second hand: Action:
Nursemaid’s Etiology?
longitudinal force at the pronated forearm pulls the radial head from the annular ligament
