Ortho 2 (special tests/glides): Elbow

Question 2

Elbow (UH joint) - anterior/posterior glides

Answer 2

Anterior glide: Apply an anterior force through the long axis of ulna

Posterior glide: Apply a posterior force through the long axis of ulna

Question 3

Elbow (UH joint) - lateral medial glides

Answer 3

Lateral glide: Apply a lateral force to proximal ulna
Medial glide: Apply a medial force to proximal ulna (Lat border of olecranon)

Question 4

Elbow (UH joint) - traction/compression

Answer 4

Question 5

Elbow (RH joint) - ant/post glide

Answer 5

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)

Question 6

Elbow (RH joint) - traction/compression

Answer 6

Question 7

Elbow (RU joint) - glides

Answer 7

Question 8

Elbow - valgus stress test

Answer 8

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)

Question 9

Elbow - varus stress test

Answer 9

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)

Question 10

Elbow - lateral epicondylitis (passive test)

Answer 10

Question 11

Elbow - lateral epicondylitis (active test)

Answer 11

Question 12

Elbow - lateral epicondylitis (differential tissue test)

Answer 12

Question 13

Elbow - medial epicondylitis (passive and active test)

Answer 13

Question 14

Elbow palpation

Answer 14

know from last semester and to confirm hypotheses:

Posterior impingement

Olecranon bursitis

Ligament sprain

Tennis elbow

Golf elbow

Question 15

Elbow combined flexion/abduction

Answer 15

FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE

EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE

whitmore 204

Question 16

elbow combined flexion/adduction

Answer 16

FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE

EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE

whitmore 204

Question 17

elbow combined extension/adduction

Answer 17

FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE

EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE

whitmore 203

Question 18

elbow combined extension/abduction

Answer 18

FLEXION/ADDUCTION Ulna ANT GLIDE + LAT GLIDE

EXTENSION/ABDUCTION Ulna POST GLIDE + MED GLIDE

whitmore 203

Question 19

elbow manipulation - ulnohumoral distraction

Answer 19

Special considerations:

• Ax ULNTs before
• Joint hypermobility

Question 20

elbow manipulation - lateral thrust of ulno-humoral joint

Answer 20

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

Question 21

elbow manipulation - medial thrust of ulno-humoral joint

Answer 21

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

Question 22

elbow manipulation - posterior thrust of proximal RU joint

Answer 22

Dysfunction Radius fixed in supination

• AROM/PROM: ↓ FA pronation & hard EF
• Glide: ↓ posterolateral glide & hard EF

Question 23

elbow manipulation - anterior thrust of proximal RU joint

Answer 23

Dysfunction Radius fixed in pronation

• AROM/PROM: ↓ FA supination (Hard EF)
• Glide: ↓ anteromedial glide (hard EF)