WEEK 9 Elbow Flashcards
Which 4 muscles attach to lateral epicondyle?
ECRB, ED, EDM, ECU
What are the 2 primary muscles involved in tendon pathology of tennis elbow? What are the 2 secondary ones?
ECRB & ECRL
EDC & anconeus
What is the first phase of rehab?
- Minimize immobilization
- Activity mod: lift w/ forearm sup not pron
- Gentle stretching
- Modalities to decrease pain/inflammation
- Taping/bracing
- Isometric exercises
- Duration: 1-2 weeks
What is the second phase of rehab?
- Prep elbow for advanced activity, full ROM, & strengthen w/o pain
- Progressive stretching
- Concentric exercises
- Neuromuscular reeducation
- Improve performance technique
- Duration: 2-4 weeks
What are the 4 types of progressive stretches for elbow?
- Elbow bent @ 90, & tucked by side, fingers open, FA neutral, opposite hand stretches wrist flexion
- Same but fingers fisted
- Elbow straight, shoulder 90 deg flex, forearm pronated, fingers loose, wrist flexion
- Same but fist
What is the third phase of rehab?
- Preparation to return to offending activity
- Eccentric strengthening
- Aggressive strengthening, plyometrics, power, & endurance training
- Wean off modalities
- Duration: 4-6 weeks
What is the fourth phase of rehab?
- Progressive return to offending activity
- Isokinetic testing
- Duration: 6-12 weeks
Which 5 muscles attach to medial epicondyle?
Pronator teres, FCR, PL, FCU, FDS
What are the 2 primary muscles involved in golfer’s elbow?
FCRB & pronator teres
Golfer’s elbow degeneration translates as pain, weakness, & reduced function of wrist & elbow during wrist flexion with what?
Pronation
Which nerve is involved with cubital tunnel syndrome?
Ulnar
What is the most common nerve compression injury in UE? What about the second?
1: Carpal tunnel
2: Cubital
Which stage of nerve injury is where there’s neuropraxia?
1
Which stage of nerve injury is where there’s axonotmesis?
2
Which stage of nerve injury is where there’s neurotmesis?
3
Joint disfigurement which can cause cubital tunnel syndrome is secondary to what formation?
Osteophyte
True or False: Patient starts complaining numbness, tingling & cold feeling then pain, point tenderness, & swelling for cubital tunnel syndrome.
False
Other way around
Elbow dislocation is complete discontinuity of what articulation?
Humeroulnar
True or False: Elbow dislocation is most common in adults & children.
False
2nd in adults
What type of instability occurs 75% of the time after elbow dislocation?
Lateral
What is the most common direction of dislocations?
Posterior or posterolateral
What are the other 2 less common dislocations?
- Anterior
- Divergent
Dislocations occur in a how many stage process?
3
Which direction of dislocation is caused by FOOSH with elbow forced into hyperextension?
Posterior
