elbow orthos

Question 1

What is cubitus valgus?

Answer 1

carrying angle greater than 15 deg.
typically assoc previous elbow joint trauma or congenital deformity

Question 2

What is cubitus varus?

Answer 2

carrying angle less than 5 deg - aka gunstock deformity -
typically dvps after supracondylar fx of humerus

Question 3

what nerves does ULTT 1 assess?

Answer 3

C5,6,7
median
anterior interosseous

Question 4

what nerves does ULTT 2 assess?

Answer 4

median
axillary
musculocutaneous

Question 5

what nerves does the ULTT 3 assess?

Answer 5

radial

Question 6

what nerves does ULTT 4 assess?

Answer 6

ulnar C8,T1

Question 7

Orthopedic tests for lateral epicondylits

Answer 7

Cozens (resisted wrist ext)
Mills (passive ext stretch)
Maudsley (resisted ext 3 digit)

Question 8

Cozens test

Answer 8

palpate lateral condyle radially deviate pronate forearm resist wrist ext +ve sharp, sudden, severe pain over lateral epicondyle

Question 9

Maudsley test

Answer 9

palpate lateral epicondyle
resist ext 3rd digit
+ve pain over lateral epicondyle

Question 10

Mills test

Answer 10

pronate wrist, palpate lateral epicondyle passive flexion of wrist +ve pain over lateral epicondyle or musculocutaneous jctn of wrist ext

Question 11

reverse mills

Answer 11

palpate medial epicondyle supinate forearm radially dev wrist passively extend elbow & wrist

Question 12

varus valgus instability

Answer 12

Question 13

moving valgus

Answer 13

abd shoulder to 90 & ext rot apply valgus force at elbow quickly move elbow flex -> ext

Question 14

elbow flexion test

Answer 14

Question 15

pressure provocation test

Answer 15

passive flex of elbow to 20 firm pressure on ulnar just proximal to cubital tunnel. Maintain 60 sec. +ve numbness & tingling ulnar distribution

Question 16

pinch grip test

Answer 16

Question 17

pronator teres syndrome