Ligamentous Injury Flashcards

1
Q

(1) Ulnar collateral ligament is primary structure that resists ______ at the elbow
(2) Trauma to this ligament is ____
(3) Common injury to ulnar collateral ligament comes from excessive _______ motions (baseball pitcher)
(4) Repetitive valgus stress to the elbow may result in instability or disability of the ulnar collateral ligament

A

1) valgus stress
2) rare
3) overhead throwing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dx/ Tx
Symptoms
(1) With acute onset patient will describe a “pop” while throwing
(2) Most commonly patients experience a gradual onset of symptoms with progressive
medial elbow pain with valgus stresses
(3) May experience symptoms consistent with ulnar neuritis
Physical Exam
(1) Visual = Generally edema and ecchymosis are absent
(2) Palpation = Tenderness over ulnar collateral ligament
(3) ROM = Possible loss of terminal elbow extension
(4) Muscle Test = Usually unremarkable or limited by pain
(5) Special Tests
(a) Positive Moving valgus stress test-valgus stress is applied to elbow while moving elbow into full flexion and extension. Test is positive when more pain is felt between 70 degree and 120 degrees of flexion.

A

Ulnar Collateral Ligament Tear
Treatment
(1) Light Duty- Activity Modification
(2) Ice for acute injury
(3) NSAIDS
(4) Pain free elbow and wrist stretching and strengthening exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Referral Decisions/Red Flags
(1) Failed nonsurgical management in patients that consistently perform activities that result valgus stress should be consulted to ________.

A

orthopedics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly