Ortho 2 (special tests/glides): Elbow Flashcards
Elbow (UH joint) - anterior/posterior glides
Anterior glide: Apply an anterior force through the long axis of ulna
Posterior glide: Apply a posterior force through the long axis of ulna
Elbow (UH joint) - lateral medial glides
Lateral glide: Apply a lateral force to proximal ulna
Medial glide: Apply a medial force to proximal ulna (Lat border of olecranon)
Elbow (UH joint) - traction/compression
Elbow (RH joint) - ant/post glide
Pt supine in elbow resting position (Full extension & supination versus 30 flex)
Pht:
Btw pt’s trunk & arm; cradle pt’s F/A
Cranial hand: stabilize distal humerus (against the table)
Caudal hand grasp radial head (thumb ant & fingers post)
Elbow (RH joint) - traction/compression
Elbow (RU joint) - glides
Elbow - valgus stress test
Pht
- Facing pt
- Proximal hand: on lateral aspect of distal humerus or joint line
- Distal hand: hold distal F/A (in full supination)
- Tested at different angle of elbow extension-flexion
- Pht apply a valgus stress by turning your torso
Findings:
- Gr I sprain: No gap, normal EF & pain
- Gr II sprain: Gap, normal EF & pain
- Gr III sprain: Gap, soft EF with more or less pain
Position:
-Pt supine, Pht facing pt (Hold 5 sec)
Elbow - varus stress test
Pht
- Proximal hand: on medial joint line or distal humerus
- Distal hand: hold distal F/A (in full supination)
- Tested at different position of elbow extension & flexion
- Pht apply a varus stress by turning your torso
Findings:
- Gr I sprain: No gap, normal EF & pain
- Gr II sprain: Gap, normal EF & pain
- Gr III sprain: Gap, soft EF with more or less pain
Position:
-Pt supine, Pht facing pt (Hold 5 sec)
Elbow - lateral epicondylitis (passive test)
Elbow - lateral epicondylitis (active test)
Elbow - lateral epicondylitis (differential tissue test)
Elbow - medial epicondylitis (passive and active test)
Elbow palpation
know from last semester and to confirm hypotheses:
Posterior impingement
Olecranon bursitis
Ligament sprain
Tennis elbow
Golf elbow
Elbow combined flexion/abduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE
EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE
whitmore 204
elbow combined flexion/adduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE
EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE
whitmore 204
elbow combined extension/adduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE
EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE
whitmore 203
elbow combined extension/abduction
FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE
EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE
whitmore 203
elbow manipulation - ulnohumoral distraction
Special considerations:
- Ax ULNTs before
- Joint hypermobility
elbow manipulation - lateral thrust of ulno-humoral joint
Special considerations:
- Ax ULNTs before
- Joint hypermobility
Dysfunction: Ulna fixed in abduction
Subjective: Fall on outstretch arm
Pt’s c/o: Tennis elbow, De Quervain’s, May c/o wrist pain
Observation: ↑ carrying angle, Hand slight ulnar deviation & flexion
AROM
- ↓ Elbow flexion & supination
- ↓ Wrist extension & radial deviation
PROM
- Adduction: ↓ & hard EF
- ↓combined movt in flexion/supination (& adduction) & hard EF
Glide: lateral glide: ↓ NZ & hard EF
- Flex combined with adduction & lateral glide
elbow manipulation - medial thrust of ulno-humoral joint
Special considerations:
- Ax ULNTs before
- Joint hypermobility
Dysfunction: Ulna fixed in adduction
Subjective: secondary to trauma
Observation
- ↓ carrying angle
- Wrist in slight radial deviation & extension
AROM
- ↓Elbow extension & pronation (Hard EF)
- ↓combined movt of extension & pronation (& abduction) - ↓Wrist flexion & ulnar deviation
PROM: Abduction: ↓ & hard EF
Glide: Med glide: ↓ & hard EF
- Ext combined with abduction & medial glide
elbow manipulation - posterior thrust of proximal RU joint
Dysfunction Radius fixed in supination
- AROM/PROM: ↓ FA pronation & hard EF
- Glide: ↓ posterolateral glide & hard EF
elbow manipulation - anterior thrust of proximal RU joint
Dysfunction Radius fixed in pronation
- AROM/PROM: ↓ FA supination (Hard EF)
- Glide: ↓ anteromedial glide (hard EF)
