Quiz 9: 1 Flashcards
Name 3 special questions to ask a pt with c/o elbow pain?
- Play racquet sports?
- What do you do for exercise?
- Any hx of dislocation?
- Grip problems?
- N/T?
What is a special test you can do to corroborate a complaint of n/t on the volar side of the pt’s forearm?
pronator teres syndrome test
What does the pronator teres syndrome test do?
- pronator teres contracts
- compresses/constricts the median nerve
What are 3 ligaments of the elbow?
- UCL
- RCL
- annular
Attachments: UCL
- medial epicondyle
- sublime tubercle
Attachments: RCL
- lateral epicondyle
- radial head
Attachments: annular ligament
anterior/posterior margins of radial notch of ulna
What is a nursemaid’s elbow?
dislocation of radial head from annular ligament
How does nursemaid’s elbow occur?
- yank on a child’s hand
- traction on wrist can dislocate head of radius
What is the mobile wad of 3?
- brachioradialis
- ECRL
- ECRB
What superficial muscles attach to the medial epicondyle?
**in order radial » ulnar
- pronator teres (supracondylar ridge)
- FCR
- palmaris longus
- FCU
What superficial muscles attach to the lateral epicondyle?
- ECRL (supracondylar ridge)
- ECRB
- extensor digitorum
- ECU
Name 3 special tests for UCL
- valgus stress test at 0˚and 30˚
- “good hands”
- milking test at 120˚ and 70˚
- dynamic milking test
How do you test for osteophyte growth in posteromedial olecranon fossa?
J-stroke
What test should also be performed for a pt with VEOS in addition to the J-stroke and other special tests we talked about?
radiocapitellar compression test
What are 2 mobs you can do for elbow flexion deficits?
- distal traction
- anterior glides
- varus mobilization
- physiologic flexion
What are 2 mobs you can do for elbow extension deficits?
- posterior glides
- valgus mobs
- physiologic extension
Describe the internal brace for a UCL injury
allows damaged ligaments/tendons to naturally reattach themselves to bone instead of being artificially reattached
What is the main advantage to the internal brace for UCL injury?
return to sport in about 1/2 the time as the usual UCL-R
What is the common name of the UCL surgery?
Tommy John surgery
Which muscles should you differentiate with MMT elbow flexion?
- biceps
- brachialis
- brachioradialis
Describe how to differentiate biceps, brachialis, brachioradialis
- biceps: supinate
- brachioradialis: neutral
- brachialis: pronate
