NMS3 Elbow

Question 1

P-A in Pronation Joint Play

Answer 1

• Patient standing arm to the side.
• Dr. takes thumb contact over radial head w fingers going in the cubital fossa.
• Dr. pronates the patients arm fully and extends the arm almost to full extension.
• Stress the radial head P-A with your thumb.

Question 2

P-A in Pronation Adjustment

Answer 2

• Patient and Dr. in same position as joint play.
• Dr. then pronates the patient’s arm while extending the elbow.
  VECTOR: P-A on radial head w thumb when the elbow is nearly fully extended.

Question 3

P-A in Supination Joint Play

Answer 3

• Patient’s arm is kept in neutral rotation placing the hand alongside your body held in place by elbow.
• Cover the radial head with your thumb and reinforce it with your other thumb.
• Feel for spring

Question 4

P-A in Supination Adjustment

Answer 4

• Patient supinates their hand and sits on it.
• The elbow is kept at 45 degree angle
• Doctors pisiform contacts the posterior radial head.
  VECTOR: P-A

Question 5

A-P Elbow Joint Play

Answer 5

• Patients arm is kept in neutral rotation placing the hand alongside Dr.’s body held stable by Dr.’s elbow.
• Dr. uses thumb and places itup and under the brachioradialis muscle on the anterior portion of the radial head.
• Dr. places other thumb lightly on the posterior surface of radial head.
• Dr. feels for spring.

Question 6

A-P Elbow Adjustment

Answer 6

• Patient is Supine with arm supinated at their side.
• Dr.s contact hand is the same as the side being adjusted.
• Dr. uses pisiform for CH on anterior surface of the radial head.
• Dr. takes other hand and supports the wrist.
• Dr. flexes the patients elbow 5/10 degrees.
• VECTOR: Radial deviation A-P

Question 7

LAD Elbow Joint Play

Answer 7

• Patient is Supine
• Dr. in a bunny hop position
• Dr.’s outside hand takes a contact between the radial head and the capitulum.
• Dr.’s inside hand takes a contact in the ulnar sulcus.
• Dr.’s thumbs in the cubital fossa.
• Dr. bends the elbow 5/10Degrees and distracts the elbow by leaning away.
• Dr. feels for joint play

Question 8

LAD Elbow Adjustment

Answer 8

• Patient is supine with arms at their sides, hands supinated.
• Dr.’s outside hand stabilizes the humerus to the table. Inside hand grasps the distal radial ulnar joint.
• Dr. bends elbow 5/10 degrees.
  VECTOR: LAD Along the line of the radius