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A: MSK UQ > Lab 10: Elbow Complex Exam > Flashcards

Lab 10: Elbow Complex Exam Flashcards

1
Q

What is the elbow complex prone to

A

Over use injuries and concomitant damage following trauma

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2
Q

How should the epicondyle and olecranon sit when looking from behind with the arms bent

A

Epicondyle should sit above olecranon

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3
Q

What is the normal carrying angle

A

5-15°

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4
Q

What is the ROM for the active movements of the elbow

A
  • elbow flexion: 140-150
  • elbow extension : 0°
  • supination: 85°+
  • pronation: 75°+
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5
Q

During ROM is the patient is stiff but painless would u still add over pressure

A

Yes bc u wanna see if it is bc of swelling or scar tissue

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6
Q

If u suspect tendinopathy for the elbow what should u chesk

A

The wrist bc the tendons go there

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7
Q

When u screen above and below the elbow do u add over pressure

A

No just check ROM and if it is decreased put a Goni to it

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8
Q

What are the normal end feels for extension , flexion , pronation/supination

A

• Extension: bony
• Flexion: soft tissue approximation
• Pronation/supination: capsular

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9
Q

What range should u do resisted isometric movements for the elbow and what area they

A

In midrange

• Elbow Flexion
• Elbow Extension
• Supination
• Pronation
• Wrist Flexion
• Wrist Extension
• Radial deviation
• Ulnar deviation
• Flex/ext of fingers (if necessary

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10
Q

What joint play can u do for the humeroulnar joint

A

• Distraction of ulna on humerus
• Medial glide of ulna on humerus
• Lateral glide of ulna on humerus

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11
Q

What joint play can u do for humero- radial joint

A

• Dorsal glide of radius on humerus
• Volar glide of radius on humerus

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12
Q

What does • Dorsal glide of radius on humerus and Volar glide of radius on humerus help with

A

Dorsal: extension
Volar: flexion

Concave on convex

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13
Q

What joint play can u do for proximal radio ulnar joint

A

• Dorsal glide of radius on ulna
• Volar glide of radius on ulna

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14
Q

What does Dorsal glide of radius on ulna and
Volar glide of radius on ulna help woth

A

Dorsal: helps improve pronation ( roll anterior , glide posteior )

Volar: helps supination ( roll posterior , glide anterior )

Convex radial head on concave ulnar

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15
Q

How long is tendinopathy recovery usually

A

6-12 weeks

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16
Q

What are the 4 soft tissue quadrants of the elbow

A
  • medial
  • laterla
  • posterior
  • anterior
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17
Q

What is included in the medial quadrant of soft tissue of the elbow

A

• Ulnar nerve
• Flexor/pronator muscle mass
• UCL

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18
Q

How do u palpate the UCL

A

Palate at 90° , feel for medialepi and go distally and then feel where the joint line is and the UCL is there long ways

19
Q

What is included in the latera quadrant of soft tissue of the elbow

A

• Wrist extensors
• RCL
• Annular ligament

20
Q

What is included in the posterior quadrant of soft tissue of the elbow

A
  • triceps mm and tendon
  • bursa
21
Q

What is included in the anterior quadrant of soft tissue of the elbow

A

• Biceps muscle & tendon
• Brachialis
• Brachioradialis

22
Q

What are the special test for ligamentous instability test

A

• Valgus stress test
• Varus stress test
• Moving valgus stress

23
Q

What are the special test for tendinopathy test

A
  • cozens test
  • mill’s test
  • golfer’s elbow test
24
Q

What are the special test for neurological dysfucntion test

A

• Tinel’s sign at the elbow
• Elbow flexion test
• Pinch grip test

25
How do u treat tendinopathy
What active exercises
26
How do u perform the valgus and varus stress test for ligamentous instability
Valgus: performed in extension and slight flexion Varus: performed in extension and slight flexion (20-30°)
27
What is the valgus stress test testing
UCL on the medial side , pushing the wrist laterally
28
Should u check both valgus and varus testing on both arms
Yes both on both arms
29
What kind of test is the moving valgus stress test
Provocative Only do when patient had medial elbow pain and (-) valgus test
30
How do u perform the moving valgus stress test and what is a (+) test
From flexion to extension with valgus stress (+) pain with rom b/t 120-70° and a teaser of the medial collateral ligament
31
If there is excessive laxity found when doing th varus instability test or a soft tissue end feel is felt what does this indicate
From flexion to extension with valgus stress (+) pain with rom b/t 120-70° and a teaser of the medial collateral ligament
32
What special test are testing for lateral tenindopathy
* cozen’s test * mill’s test
33
How do u do the cozen’s test
* stabilize patient elbow w one hand * pateint pronates forearm then extends and radially deviates the wrist against manual resistance
34
What is (+) for cozens test
Pain near lateral epicondyle
35
What kind of test is a cozens test
Provocative , only test painful side
36
How do u do mills test (lateral epi) and what is a (+) test
* palpate the pt laterla epi w one hand * pronates the patients forearm , flexes the wrist and extends the elbow * passive stertch , no resistance (+) pain near laterla epi
37
What test is used for medial tendinopathy and how do u do it and what is a (+) test
Golfer elbow test * palpate medial epi * patient flex’s the wrist against manual resistance (+) pain near medial epi
38
What kind of test is the golfer elbow test
Provactive test
39
What is teh tinels sign at the elbow testing
Ulnar never compression and regeneration (+) reproduction of SYMTOMS in ulnar never distribution
40
What would u do if pateints has numbness , burning , shooting , tingling and weakness in grip when testing the elbow
Tinels sing at the elbow ,,, thinking cubital tunnel prob
41
If pateint has medial elbow pain what should u think
* UCL * golfer elbow * cubitla tunnel
42
What is the elbow flexion test
Testing the ulnar nerve Hold position for 3-5 mins (+) tingling and parasthesias present in ulnar never distribution
43
If a patient has pain at the 3;30 mark during elbow flexion test what do u do
Stop test
44

A: MSK UQ (30 decks)

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