Elbow Flashcards
(41 cards)
What is Medial Epicondylitis commonly known as
Golfer’s/Pitcher’s Elbow/Bowler’s Elbow
Where do you see pain with medial epicondylitis
Pain with pronation and wrist flexion
due to golf swing, baseball pitching, bowling, pull-through of swimming strokes
What is lateral epicondylitis commonly known as
Tennis elbow
What type of pain is seen in lateral epicondylitis
Pain with gripping and wrist extension
pain with lifting, shaking hands, screwdriver, tennis backhand
what is the origin of lateral epicondylitis
origin of the extensor carpi radialis brevis
Signs and symptoms of epicondylitis
pain to palpation,
resisted ROM that causes pain
What imaging do you do for epicondylitis
x-rays are usually negative, mainly do it to rule our loose body or arthritis
treatment for Epicondylitis
Activity modification
NSAIDS/ Rub in cream
ICE/HEAT
Elbow strap
Stretching and strengthening exercises are the mainstay of treatment
refer to rehab if not better
maybe steroid injection, PRP, shock wave therapy
refer to specialist after 6 months of conservative treatment
what is the mainstay of treatment with epicondylitis
strength and stretching exercises
what do you do if epicondylitis persists for more than 6 months with conservative treatment
refer
What is ulnar nerve entrapment
Pressure on ulnar nerve as it passes through groove on posterior aspect of medial epicondyle CUBITAL TUNNEL
Where does the ulnar nerve go through?
Cubital tunnel there is ulnar nerve compression at the elbow though
How does ulnar nerve entrapment happen
After trauma that results in osteophytes or scar tissue
direct blow or repetitive bending of elbow or leaning
nerve is bumped easily FUNNY BONE
Symptoms of Ulnar Nerve Entrapment?
N/T of little and ring fingers
numbness at night
DECREASED GRIP STRENGTH
pain with tapping over nerve
tenderness over medial elbow
POSITIVE FROMENT SIGN
Diagnostics for Ulnar Nerve Entrapment?
Xray to rule out trauma
EMG/NCV done to see if there is reduction of 30% or more which suggests substantial compression
What does EMG/NCV for ulnar nerve entrapment possibly show?
Reduction of 30% or more suggests substantial compression
What is the treatment for Ulnar Nerve Entrapment
Avoiding bending of elbow
night splints
NSAIDS
change work station
padding of elbow
surgery
Who typically fractures the distal humerus?
Children
uncommon in adults
if it’s displaced do surgery
non-dispalced do a sling or splint
Signs and symptoms of Distal humerus fracture?
Swelling deformity,
ecchymosis
pain
crepitus with flexion
ULNAR NERVE DYSFUNCTION MOST COMMON NEUROVASCULAR TISSUE
How to diagnose Distal humerus fracture
AP-lat views X-rays
that show FAT PAD OR SAIL SIGN
- indicates bleeding into joint/ occult fracture
How do you treat distal humerus fractures
Surgery and sling
How does elbow dislocation happen
Most commonly disjointed in children
FALLING ON OUTSTRETCHED HAND
Signs and symptoms of elbow dislocation?
Pain, deformity
INABILITY TO BEND ELBOW
How to diagnosis elbow dislocation?
Ap/lat x-ray views
