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Ortho Exam 2 > Elbow - CHARTS > Flashcards

Elbow - CHARTS Flashcards

(69 cards)

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1
Q

subjective exam

A

chief complaint: pain

history

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2
Q

pain

A

lateral

medial

posterior

cubital fossa pain

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3
Q

lateral pain

A

possible lateral epicondylitis

radial nerve syndrome

RCL sprain

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4
Q

medial pain

A

possible medial epicondylitis

UCL sprain

ulnar nerve compression

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5
Q

posterior pain

A

possible olecranon bursitis

triceps tendonitis

valgus extension overload

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6
Q

cubital fossa pain

A

tear of brachialis or biceps

capsular injury or compression of posterior interosseous nerve

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7
Q

history

A

joint noise

occupation, sports, hobbies

MOI

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8
Q

occupation, sports, hobbies –> history

A

overuse of wrist flexion or extension activities requiring wrist stabilization in extension

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9
Q

MOI –> history

A

FOOSH or tip of elbow

repetitive activities -sports, hobbies, vocation

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10
Q

did pt hear or feel a “pop” when injured

A

if pop was followed by pain/swelling –> could be injury of UCL or RCL

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11
Q

what else could it be if the pt heard or felt a pop

A

recurrent ulnar nerve dislocation

dislocation of medial head of triceps

loose body, synovitis

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12
Q

what should we ask the pt about

A

aggravating activities

pulling - traction

twisting - torque

pushing - compression

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13
Q

general observations to make during exam

A

muscle tone, swelling

texture, color, temp of skin

quality of nails

carrying angle and rest position of elbow

ability to use limb

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14
Q

objective exam

A

asymmetries

STT

special tests

fxn

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15
Q

asymmetries includes

A

observation

palpation

swelling

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16
Q

what should we observe –> asymmetries

A

compare carrying angle R/L

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17
Q

carrying angle

A

~ 5-10 in males

10-15 in females

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18
Q

if carrying angle is greater than normal

A

cubitus valgus

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19
Q

if carrying angle is less than normal

A

cubital varus

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20
Q

gunstock deformity occurs if

A

was a fx or epiphyseal injury to the distal humerus

resulting in cubital varus

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21
Q

when do we see a gunstock deformity

A

full extension

arm abducted at size

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22
Q

gunstock deformity

A

forearm deviated medially over the arm

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23
Q

boundaries of the cubital fossa

A

medially

laterally

superiorly

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24
Q

medially –>boundaries of the cubital fossa

A

pronator teres

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25
laterally --> boundaries of the cubital fossa
brachioradialis
26
superiorly --> boundaries of the cubital fossa
imaginary line joining the two epicondyles
27
what do we palpate --> asymmetries
anterior medial lateral posterior
28
anterior --> palpate asymmetries
w/in cubital fossa biceps tendon brachial artery radial head
29
medial --> palpate asymmetries
medial epicondyle medial (ulnar) collateral lig ulnar nerve
30
lateral --> palpate asymmetries
lateral epicondyle lateral (radial) collateral lig annular lig
31
posterior --> palpate asymmetries
olecranon process and bursa triceps tendon
32
if swelling is present --> objective
all 3 joints are affected
33
where is the swelling present if it affects all 3 joints
triangular space b/w radial head, olecranon tip and lateral epicondyle
34
if swelling is d/t olecranon bursitis
discrete encapsulated "goose egg" over olecranon process
35
if swelling is present, how is the joint help
in resting position
36
possible systemic causes of elbow pain --> differential dx
gout infectious arthritis polyarthritis RA cervical radiculopathy
37
STTT
AROM, PROM, tendinopathy, capsular pattern
38
AROM --> STTT
elbow forearm wrist hand
39
PROM --> STTT
endfeel
40
flexion end feel --> STTT
tissue approximation
41
extension end feel -> STTT
bone to bone
42
sup/pro end feel -> STTT
tissue stretch
43
tendinopathy -> STTT
AROM PROM resistance stretch
44
capsular pattern HU --> STTT
flex >> ext
45
capsular pattern RH -> STTT
flex + ext >> sup + pro
46
capsular pattern RU -> STTT
sup >> pro
47
accessory PROM -> STTT
end feel joint play of interosseous membrane
48
HU --> end feel --> accessory PROM --> STTT
capsular
49
RH --> end feel --> accessory PROM --> STTT
capsular
50
prox R/U --> end feel --> accessory PROM --> STTT
capsular
51
resistance --> STTT
differentiate b/w multiple muscles w/in the group
52
differentiate b/w multiple muscles w/in the group -->resistance --> STTT
elbow flexors/extensors wrist extensors/flexors
53
special tests
ligament stress tests epicondylosis tests tests for joint dysfxn tests for neurologic dysfxn test length of multiple joint muscles
54
ligament stress tests
ligamentous instability tests posterolateral pivot shift apprehension test
55
ligamentous instability tests
varus and valgus
56
epicondylosis test
lateral epicondylitis medial epicondylitis
57
lateral epicondylitis --> special tests
cozen's mill's for tennis elbow
58
medial epicondylitis --> special tests
golfers elbow
59
tests for joint dysfxn
H/U H/R
60
tests for neurological dysfxn
tinel sign @ elbow wartenberg's sign elbow flexion test test for pronator teres syndrome pinch grip test
61
test length of multiple joint muscles
biceps triceps wrist flexors and extensors
62
fxn
most activities are done b/w 30-130 degrees of flexion and 50 pronation and 50 supination
63
what do we need for certain activities
more range
64
fxnal standardized tests
disability of arm, shoulder and hand (DASH) quick DASH UE fxnal index
65
correlate --> CDM
subjective and objective findings
66
what does CDM lead to
PT dx
67
what should we do --> CDM
make a list of impairments and fxnal deficits
68
what should we design --> CDM
a program of interventions that addresses these impairments and fxnal deficits
69
lastly --> CDM
treat and reasses

Ortho Exam 2 (17 decks)

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