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scs > SCS Study Guide- Elbow > Flashcards

SCS Study Guide- Elbow Flashcards

1
Q

brachialis innervation

A

MSk and radial

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2
Q

brachoradialis triceps, supinator, aconeous innervation

A

radial

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3
Q

Pronator teres

A

median

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4
Q

when should a fastball pitch start?

A

age 8-10

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5
Q

when should a change up pitch start?

A

10

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6
Q

when should a curveball/knuckleball pitch start?

A

14

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7
Q

when should a slider, forkball, splitter pitch start?

A

16-18 years

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8
Q

when should a screwball pitch start?

A

17-18

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9
Q

what does varus/valgus look at

A

LCL/MCL

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10
Q

what does pinch grip test look at

A

anterior interosseous nerve

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11
Q

tinel’s sign

A

ulnar nerve compression

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12
Q

cozen/mill test

A

lateral epicondylalgia

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13
Q

milking and moving valgus

A

MCL involvement

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14
Q

chair sign test

A

LCL

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15
Q

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

A

1day

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16
Q

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

A

2 days

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17
Q

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

A

3 days

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18
Q

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

A

4 days off

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19
Q

what can cause LLE (little league elbow)

A

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

20
Q

what is panners, ages, s+s

A

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

21
Q

what is the treatment for panners

A

rest!

22
Q

what is an OCD

A

articular cartilage which is separated from subchondral bone

23
Q

what casuses OCD

A

repetitive trauma

24
Q

what are signs and sxs of OCD

A

lateral elbow pain, popping, swelling and locking

25
Q

Lateral epicondylalgia, exam, cause and treatment

A

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

26
Q

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

A

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.

27
Q

medial epicondyle apophysitis cause, exam and treatment

A

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

28
Q

Volkman’s contracture cause, exam and treatment

A

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

29
Q

pronator teres syndrome cause, exam and treatment

A

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

30
Q

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

A

tight in extension, loose in flexion

31
Q

MCL posterior bundle is tightest and loosest where

A

tightest in flexion, loosest in extension

32
Q

MCL injury cause, exam and treatment

A

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

33
Q

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

A

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

34
Q

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

A

ROM 15-115
pain free ISO
scap stab

35
Q

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

A

plyometrics and light forearm and wrist strengthening

36
Q

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

A

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

37
Q

flexor contracture cause, exam and treatment

A

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

38
Q

heterotrophic ossification cause, exam and treatment

A

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

39
Q

elbow dislocation cause, exam and treatment and imaging

A

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

40
Q

ROM restritions following elbow dislocation

A

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

41
Q

OCD capitellum cause, exam and treatment

A

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

42
Q

olecranon bursitis cause, exam and treatment

A

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

43
Q

monetggia fracture:

A

dislocation or proximal radioulnar joint at forearm fracture

44
Q

night stick fracture

A

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

45
Q

nursemaid elbow

A

dislocation of radius common from when pulled by hand.

46
Q

ossification appearance sequence

A

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

47
Q
A

scs (26 decks)

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