Specific Pathologies of the elbow

Question 1

Tennis Elbow is also referred to as …?

Answer 1

Lateral Epicondylitis

Question 2

If you notice while treating your patient that their tennis elbow pain is reduced (but not fully resolved) with a change in position of the neck or shoulder what should be done.

Answer 2

The other joint is contributing to their tennis elbow and should be treated simultaneously.

Question 3

What would cause you to do a mills manipulation to a patient

Answer 3

Patient has tennis elbow
Patient has a myofascial issue as determined by the Mills Test
Patient has no prior elbow issues (ex: surgeries, fx, etc)

Question 4

What is the main treatment goal for tennis elbow?

Answer 4

to improve blood flow to the area

Question 5

What positive test would point to the Dx of tennis elbow?

Answer 5

Resisted wrist Extension
Resisted finger Extension
Mills Test
Cozens Test
Palpation over the later epicondyle

Question 6

Name 7 possible treatments for Tennis Elbow

Answer 6

Friction Massage (or Self friction)
Sub-maximal exercise
Stretching exercises
Mills Manipulations 
ASTYM
Counter-force bracing 
Pt. Education

Question 7

Where are the names of four types of radial nerve compression?

Answer 7

High Radial Nerve Compression
Posterior Interosseus Nerve Entrapment
Radial Tunnel Syndrome
Radial Sensory Nerve Entrapment

Question 8

High Radial Nerve Compression is generally due to:

Answer 8

distal humerus

Question 9

What are possible signs and symptoms that can be seen with High Radial Nerve Compression?

Answer 9

Loss of wrist Ext
inability to ext the fingers and thumb
motor and sensory involvement along the radial nerve distribution pattern.

Question 10

What are the conservative treatment options for a person with Posterior Interosseus Nerve Entrapment?

Answer 10

Rest
Activity Modification
Use of Cock-up Wrist Splint
Gentle Stretches of the Wrist Extensors (in full elbow ext)

Question 11

Radial Sensory Nerve Entrapment (Wartenburg’s syndrome) is similar to which other syndrome we have learned about?

Answer 11

DeQuervain’s Syndrome

Question 12

What is a FOOSH injury?

Answer 12

Fall On an Out Stretched Hand

Question 13

What is the most likely mechanism of injury for a radial head fracture or dislocation?

Answer 13

FOOSH injury

Question 14

What are the complications that come along with radial head Fx or dislocation?

Answer 14

Stiffness
Deformity
Post Traumatic Arthritis
Nerve Damage

Question 15

Which reduction method has the best result for radial head dislocation/Fx?

Answer 15

ORIF

Question 16

a 60 yr old woman with a history of arthritis comes into your clinic with c/o N&T in her L hand while sitting at the kitchen table knitting, patient states if she takes her arms off the table or shakes them she gains some relief. Pt has positive ULTT. What is the name of the patients condition?

Answer 16

Ulnar Neuritis

Question 17

Name the muscles that are effected by Ulnar Neuritis.

Answer 17

Flexor Digiti Minimi
Opponens Digiti Minimi
Abductor Digiti Minimi
Adductor Pollicus

Question 18

Ulnar Neuritis is commonly secondary to…?

Answer 18

Swelling
Osteophytes 
Arthritis
Trauma
Repeated Micro-Trauma

Question 19

What is the mechanism of injury for Myositis Ossificans?

Answer 19

Occurs after a blunt injury that causes deep tissue bleeding.

Question 20

A 46 year old man comes into your clinic 3 weeks after having a coconut fall 40 feet out of a tree onto his R anterior arm (biceps region) while he was on vacation. Pt states that elbow flexion is very painful. What do you suspect has happened, what would your treatment be, and why?

Answer 20

He has developed Myositis Ossificans; you would tell him to rest, you would immobilize his right arm and suggest that he takes some anti-inflammatory medicines.