Elbow Flashcards

(30 cards)

1
Q

What two joints make up the elbow?

A

Humero-ulnar

Radio-capitallar

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2
Q

What is the function of the humero-ulnar joint?

A

Flexion extension

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3
Q

What is the function of the radio-capitellar joint?

A

Supination/pronation

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4
Q

What does the triceps muscle do?

A

Elbow extension

Inserts onto olecranon process

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5
Q

What does the brachialis do?

A

Elbow flexion

Inserts onto the coronoid process

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6
Q

What does the biceps do?

A

Elbow flexion

Inserts onto the bicipital tuberosity of the radius.

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7
Q

What muscles control supination?

A

Biceps and supinator muscles

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8
Q

What muscles control pronation?

A

Contraction of pronator Teres proximally

pronator quadratus distally

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9
Q

Tennis elbow

A

Lateral epicondylitis

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10
Q

Causes of tennis elbow?

A

Repetitive strain injury
Resisted extension at wrist
degenerative Enthesopathy

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11
Q

In the forearm which side do extensors arise from?

A

Lateral

Lateral epicondyle is origin

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12
Q

In the forearm and wrist which side to flexors arise from?

A

Medial

Medial epicondyle

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13
Q

What is Enthesopathy?

A

Pain in the attachment of ligament

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14
Q

What is an enthesis?

A

The area where the tendon attaches to bone?

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15
Q

What is the pathology of tennis elbow?

A

Microtears in extensor origin

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16
Q

Tennis elbow

A

Lateral epicondyle

Extensor

17
Q

Clinical signs of tennis elbow?

A

Painful and tender lateral epicondyle

Pain on middle finger and wrist extension

18
Q

Treatment for tennis elbow

A
Self limiting
NSAIDs
Rest
Brace
Steroid injection
Physiotherapy
19
Q

Is surgery used in tennis elbow?

A

Only for refractory cases.

Division or excision of extensor origin

20
Q

lateral epicondylitis

21
Q

Golfers elbow

A

Medial epicondylitis

22
Q

Which is more common tennis or golfers elbow?

A

Lateral tennis is more common

23
Q

Golfers elbow cause

A

Repeated strain or degeneration of the flexor origin.

24
Q

Golfers elbow treatment.

A
Physio
Rest 
NSAIDs
Brace
Steroid injection risk of ulnar nerve damage
25
Is primary OA of the elbow common?
No its very uncommon
26
What forms of arthritis are common in the elbow?
Rheumatoid or secondary OA due to trauma
27
What is unusual about RA in the elbow
Massively reduced symptoms despite joint being destroyed.
28
Arthritis in radio-capitellar joint that's unresponsive to non surgical treatment can undergo what?
Excision of the joint as good pain relief with minimal loss of function.
29
Arthritis in homer-ulnar joint that's unresponsive to non surgical treatment can undergo what?
Total elbow replacement
30
What is the limiting factors for a total elbow replacement?
2.5kg lifted postoperative