SCS Study Guide- Elbow

Question 1

brachialis innervation

Answer 1

MSk and radial

Question 2

brachoradialis triceps, supinator, aconeous innervation

Answer 2

radial

Question 3

Pronator teres

Answer 3

median

Question 4

when should a fastball pitch start?

Answer 4

age 8-10

Question 5

when should a change up pitch start?

Answer 5

10

Question 6

when should a curveball/knuckleball pitch start?

Answer 6

14

Question 7

when should a slider, forkball, splitter pitch start?

Answer 7

16-18 years

Question 8

when should a screwball pitch start?

Answer 8

17-18

Question 9

what does varus/valgus look at

Answer 9

LCL/MCL

Question 10

what does pinch grip test look at

Answer 10

anterior interosseous nerve

Question 11

tinel’s sign

Answer 11

ulnar nerve compression

Question 12

cozen/mill test

Answer 12

lateral epicondylalgia

Question 13

milking and moving valgus

Answer 13

MCL involvement

Question 14

chair sign test

Answer 14

LCL

Question 15

what is the appropriate rest days between for 21-35 pitches in 7-18 year olds

Answer 15

1day

Question 16

what is the appropriate rest days between for 36-50 pitches in 7-18 year olds

Answer 16

2 days

Question 17

what is the appropriate rest days between for 51-65 pitches in 7-18 year olds

Answer 17

3 days

Question 18

what is the appropriate rest days between for 66+ pitches in 7-18 year olds

Answer 18

4 days off

Question 19

what can cause LLE (little league elbow)

Answer 19

medial epicondyle fragmentation/avulsion, delayed or accelerated apophyseal growth of ME, forms of OCD

Question 20

what is panners, ages, s+s

Answer 20

AVN of capitellum, 7-12,
stiffness and pain at lateral elbow

Question 21

what is the treatment for panners

Answer 21

rest!

Question 22

what is an OCD

Answer 22

articular cartilage which is separated from subchondral bone

Question 23

what casuses OCD

Answer 23

repetitive trauma

Question 24

what are signs and sxs of OCD

Answer 24

lateral elbow pain, popping, swelling and locking

Question 25

Lateral epicondylalgia, exam, cause and treatment

Answer 25

tennis elbow, excessive gripping, ECRB exam: cozen's mills, decreased grip strength conservative care

Question 26

Medial epicondyle ages, cause, exam and treatment. muscles involved??

Answer 26

golfers elbow, too much flexion with trail arm and follow through, FCR, PT and FCU usually involved pain medially, swelling, passive wrist ext pain conservative treatment.

Question 27

medial epicondyle apophysitis cause, exam and treatment

Answer 27

repetitive stress with throwing, ages 9-12 pain at medial elbow and decreased strength with rest and conservative care

Question 28

Volkman's contracture cause, exam and treatment

Answer 28

cause: ischemic contracture of brachial artery, usually a complication from an elbow injury exam: pain in forearm with passive finger extension, and ceasation of brachial and radial pulse treat: MD

Question 29

pronator teres syndrome cause, exam and treatment

Answer 29

cause: entraped median nerve due to edema or hypertrophy exam: neuropathy sensory and motor changes treatment: anti-inflam and rest and surgery at times

Question 30

the anterior bundle of the MCL is tight in ___ and loose in ___

Answer 30

tight in extension, loose in flexion

Question 31

MCL posterior bundle is tightest and loosest where

Answer 31

tightest in flexion, loosest in extension

Question 32

MCL injury cause, exam and treatment

Answer 32

cause: repetitive Valgus stress, valgus load during throwing exam: pain medially, decreased strength, milking and moving valgus treatment: docking procedure of anterior bundle

Question 33

post op UCL-R weeks 1-4 ROM and splinting protocol

Answer 33

ROM 30-105 splint at 50-60 for 1 week then 45-90 weeks 1-3 20-105 week 4

Question 34

post op UCL-R weeks 4-6 ROM and protocol

Answer 34

ROM 15-115 pain free ISO scap stab

Question 35

post op UCL-R weeks 12-16 ROM and protocol

Answer 35

plyometrics and light forearm and wrist strengthening

Question 36

post op UCL-R months 4-9 ROM and protocol

Answer 36

interval throwing at 4 months interval batting 5 months throwing from mound 9 months pitching competitively at 1 year

Question 37

flexor contracture cause, exam and treatment

Answer 37

cause: result valgus overload syndrome, osteophytes (prevention of extension) exam: restricted ROM, pain at end ranges treatment: LLLD, stretching, mobs, dynamic splinting at night

Question 38

heterotrophic ossification cause, exam and treatment

Answer 38

cause: direct trauma or surgery, exam is swelling, hyperemia and loss of motion and treatment is surgery

Question 39

elbow dislocation cause, exam and treatment and imaging

Answer 39

cause: FOOSH, severe twist in flexed position POSTERIOR 90% exam: hemorrhage, swelling and pain treatment: elbow splinted 5-7 days in hinged elbow 30-90 (inc 10-15 per week) NO PROM, full flexion by 6-12 weeks and full extension by 3-5 months imaging: a/p, lat and oblique

Question 40

ROM restritions following elbow dislocation

Answer 40

5-7 days, hinged elbow brace 30-90 (inc 10-15 per week) no PROM full flexion 6-12 weeks, full extension 3-5 months

Question 41

OCD capitellum cause, exam and treatment

Answer 41

cause: OCD and loose bodies exam: MRI treatment: non-op or arthroscopic

Question 42

olecranon bursitis cause, exam and treatment

Answer 42

cause: chronic injury or direct blow exam: pain, swelling, TTP treatment: protect with padding

Question 43

monetggia fracture:

Answer 43

dislocation or proximal radioulnar joint at forearm fracture

Question 44

night stick fracture

Answer 44

mid point ulnar fracture (Galenzzi fx) dislocation of ulnar head and fracture of distal radius

Question 45

nursemaid elbow

Answer 45

dislocation of radius common from when pulled by hand.

Question 46

ossification appearance sequence

Answer 46

CRITOE capitellum, radial head, internal epicondyle, trochelar, olecranon, external epicondyle