Ortho-Elbow

Question 1

supracondylar fractures occur in which population

Answer 1

children

Question 2

treatment for supracondylar fracture

Answer 2

reduce them closed, but need to pin them in place

Question 3

can you see fracture of the radial head on xray

Answer 3

not always

Question 4

FOOSH, swollen, tender elbow, lacks supination

Answer 4

radial head fx

Question 5

treatment for radial head fx

Answer 5

sling and early ROM

Question 6

what is the radial head contained by?

Answer 6

the annular ligament

Question 7

SAIL SIGN

Answer 7

radial head fx

Question 8

how is the ROM in elbow dislocations?

Answer 8

NO ROM

Question 9

what nerve damage must you check for with elbow dislocations?

Answer 9

ulnar nerve damage

Question 10

which way does the elbow typically dislocate?

Answer 10

posterolateral

Question 11

do you need an xray of elbow dislocations?

Answer 11

yes, unless you witnessed it

Question 12

treatment for elbow dislocations

Answer 12

IV sedation reduce by longitudinal traction xray (to R/O fx) splint @ 90 rest for a week, then gradually increase ROM

Question 13

what may be fractured in an elbow dislocation?

Answer 13

coronoid

Question 14

what may be a long-term effect of elbow dislocation

Answer 14

lose full extension

Question 15

what is subluxed in a nursemaid’s elbow?

Answer 15

radial head from annular ligament

Question 16

population of nursemaid’s elbow?

Answer 16

kids up to 5-6

Question 17

child presents with useless arm, but not complaining of pain

Answer 17

nursemaid’s elbow

Question 18

how to reduce nursemaid’s elbow

Answer 18

pressure by thumb over radial head, gentle flexion and supination

Question 19

how is nursemaid’s elbow different if not treated for 3-4 days

Answer 19

increased inflammation… might not be able to reduce so splint and should reduce on it’s own in a few days

Question 20

medial epicondylitis

Answer 20

golfer’s elbow

Question 21

lateral epicondylitis

Answer 21

tennis elbow

Question 22

overuse of common flexor tendon in elbow

Answer 22

golfer’s elbow (medial)

Question 23

overuse of common extensor tendon in elbow

Answer 23

tennis elbow (lateral)

Question 24

epicondylitis tx

Answer 24

Rest, ice, NSAIDs, stretching PT Steroid injection +/-

Question 25

when should you consider surgery for epicondylitis

Answer 25

if sx still present after 6mo

Question 26

describe epicondylitis surgery

Answer 26

disconnect tendon off bone then scrape out diseased tendon –> will heal w/ normal scar

Question 27

pressure on the ulnar nerve around the elbow

Answer 27

cubital tunnel syndrome

Question 28

numbness and pain in elbow to small and ring fingers

Answer 28

cubital tunnel syndrome

Question 29

why people get cubital tunnel syndrome

Answer 29

from sleeping in flexion or resting elbow on car window

Question 30

treatment for cubital tunnel syndrome

Answer 30

avoid flexion and resting elbow on hard surfaces consider extension splint surgical decompression if persistent

Question 31

testing 1,2

Answer 31

testing 1,2