What Causes...
1. Medial elbow pain
2. Lateral Elbow Pain
3. Tennis & golfer's elbow
1. UCL (Tommy-John Ligament)
2. RCL or annual lig abt radial head
3. Lateral(tennis) & medial epicondylitis (golf)
1. What forms carrying angle?
2. What does increasing it cause...
Decreasing it....
1. Angle formed at the elbow b/w2 lines ...
1st along long axis of humerus
2nd median aspect of forearm in valgus position
2. Inc= wrist aDduction
Dec= wrist ABduction
(i like to remember this as Decrease already has a D in it so it adds a B)
1. normal degrees for men & women
2. Greater than
less than normal
1. women 10-15 °
men 5°
2. Cubitus Valus ... If >
Cubitus varus -aka- Gun Shot..If <
Parallelogram of Forearm
As Olecranon of the ulna
1. aBducts ...the wrist-->
2. aDucts ....the wrist-->
Oppostite...
The wrist
1. aDducts (movement of wrist toward pinkie)
2. aBducts (mvmt of the wrist toward thumb)
as the olecranon....
Somatic Dysfunction of Elbow
-aka-
Olecranon (ulnohumeral) Dysfunction
1. Clincial
2. Primary & Secondary cause
1. Cause- Subtle Add or Abd elbow
2. Primary- Olecranon (ulnohumeral) joint SD
Secondary- radiohumeral joit
Olecranon (ulnohumeral) SD
aBduction
1. Type of Glide
2. Carrying angle
3. Distal forearm prefers (Da same)
4. Radial head is..
5. Hand (wrist) may prefer... (Hoppostie)
1. Medial Glide
2. Increased Carrying angle
3. Distal Forearm Prefers -aBduction
4. Radial Head- compressed on the capitulum of humerus
5. Hand (wrist) aDduction at radiocarpal joing
Olecranon (ulnohumeral) SD
aDduction
1. Type of Glide
2. Carrying angle
3. Distal forearm prefers (Da same)
4. Radial head is..
5. Hand (wrist) may prefer... (Hopposite)
1. Lateral Glide
2. Gunshot -aka- Decreased carrying angle
3. Distal Forearm- aDduction
4. Radial Head gapped at capitulum & drawn into annular lig
5. Hand (wrist)- aBduction at radiocarpal joint
Muslces of Supination and Pronation
Supinate- Supinator
Pronate- Pronator teres & pronator quadratus
Radial Head Dysfunction
- Radius has Reciprical motion
- Pronate hand= Posterior glide of Radial head
- Supinate hand= Anterior glide of Radial head
Pronation
1. Radius crosses....
2. Creates...
3. Distal Radius moves___ causes Radial Head to move__
1. Radius crosses - Ulna
2. Creates Fulcrum
3. Distal radius moves anteriorly ... causes radial head to move
Posteriorly
SUPINATION
At endpoint distal radius moves _______
______causes raidal head to glide _____
At endpoint distal radius moves _______ (posteriorly)
______(interosseous lig) causes raidal head to glide _____ (anteriorly)
Cause of SD
Hand is in..
1. Pronation
2. Supination
1. Pronation- Fall forward & bracing with hands
Result: Posterior radial head
2. Supination- Backward fall & Bracing with hands
Result: anterior radial head
RAIDAL HEAD MNEMONIC
SAPP
Supination of Forearm= Anterior radial head
Pronation of forearm= Posterior radial head
Falling Forward onto palm
with out stretched palm causes...
1. The hand is in a pronated position
2. forward force vector pushes the distal radius into greater anterior rotation
3. causing the radial head to move posteriorly
FALLING BACKWARD ONTO PALM
w/ Extended Arm
- ¨The hand is in a supinated position
2. impacting force vector pushes the distal radius into greater posterior rotation
3. causing the radial head to move anteriorly.
When evaluating Joints look for SD always look in....
1 joint up and 1 joint down
SD WRIST
- Pain in wrist -- small gliding motion
- look at elbow- might have large motion loss in flex & ext
- Compression compenent - if cause by fall
SD CMC (Carpometacarpal) Joint
Almost always have a _______component
especially if motion is restricted in _____and/or ______
Almost always have a _______( compression) component
especially if motion is restricted in _____(dorsal) and/or ______(ventral) GLIDE
1st CMC (thumb) most like to have.......
- compression strain or true sprain (NOT SD)
- Due to freedom of motion
MCPs or IPs SD in (3 things)
accompanied by______
- AP glide
- Mediolateral glide
- Rotational Glide (internal/external)
Accompanied by___________(compression)
