Specific Pathologies of the elbow Flashcards
Tennis Elbow is also referred to as …?
Lateral Epicondylitis
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.
The other joint is contributing to their tennis elbow and should be treated simultaneously.
What would cause you to do a mills manipulation to a patient
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)
What is the main treatment goal for tennis elbow?
to improve blood flow to the area
What positive test would point to the Dx of tennis elbow?
Resisted wrist Extension Resisted finger Extension Mills Test Cozens Test Palpation over the later epicondyle
Name 7 possible treatments for Tennis Elbow
Friction Massage (or Self friction) Sub-maximal exercise Stretching exercises Mills Manipulations ASTYM Counter-force bracing Pt. Education
Where are the names of four types of radial nerve compression?
High Radial Nerve Compression
Posterior Interosseus Nerve Entrapment
Radial Tunnel Syndrome
Radial Sensory Nerve Entrapment
High Radial Nerve Compression is generally due to:
distal humerus
What are possible signs and symptoms that can be seen with High Radial Nerve Compression?
Loss of wrist Ext
inability to ext the fingers and thumb
motor and sensory involvement along the radial nerve distribution pattern.
What are the conservative treatment options for a person with Posterior Interosseus Nerve Entrapment?
Rest
Activity Modification
Use of Cock-up Wrist Splint
Gentle Stretches of the Wrist Extensors (in full elbow ext)
Radial Sensory Nerve Entrapment (Wartenburg’s syndrome) is similar to which other syndrome we have learned about?
DeQuervain’s Syndrome
What is a FOOSH injury?
Fall On an Out Stretched Hand
What is the most likely mechanism of injury for a radial head fracture or dislocation?
FOOSH injury
What are the complications that come along with radial head Fx or dislocation?
Stiffness
Deformity
Post Traumatic Arthritis
Nerve Damage
Which reduction method has the best result for radial head dislocation/Fx?
ORIF
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?
Ulnar Neuritis
Name the muscles that are effected by Ulnar Neuritis.
Flexor Digiti Minimi
Opponens Digiti Minimi
Abductor Digiti Minimi
Adductor Pollicus
Ulnar Neuritis is commonly secondary to…?
Swelling Osteophytes Arthritis Trauma Repeated Micro-Trauma
What is the mechanism of injury for Myositis Ossificans?
Occurs after a blunt injury that causes deep tissue bleeding.
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?
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.
