Elbow

Question 1

How do you treat epicondylitis?

Answer 1

Activity modification
NSAIDS/anti-inflammatory creams
ice/heat
Elbow strap
Stretching + strengthening exercises
Refer to rehab
Consider steroid injection, PRP, shock wave therapy
Refer to specialist after failure of 6 months conservative treatment

Question 2

how do you treat ulnar nerve entrapment?

Answer 2

Avoid bending, night splints, NSAIDs, change workstation, padding of elbow

Question 3

How do you treat a distal humerus fracture?

Answer 3

Non-displaced = sling/splint
Displaced = surgery

Early ROM

Question 4

How do you treat elbow dislocaiton?

Answer 4

Reduction
Repeat neurovascular exam
Repeat XRs

Early ROM –
5-7 days post reduction
Block terminal extension w/ brace
NSAIDs to reduce ectopic bone formation

Question 5

How do you treat an olecranon fracture?

Answer 5

Non-displaced = posterior splint in 45 degree flexion w/ follow up XR in 10 days

Displaced = surgery

Early ROM

Question 6

How do you treat a radial head fracture?

Answer 6

Type 1 = splint/sling w/ early ROM

Type II + III = surgery

Question 7

How do you treat olecranon burisitis?

Answer 7

Mild = leave alone or treat symptoms
Activity modification, NSAIDs, padding
Symptomatic
Aspiration (culture), compression, reassess in 2-7 days
Antibiotics (cover MRSA)
Surgery
>3 recurrences