Elbow Evaluation. History How did this injury occur? When did you hurt your elbow? Did you hear any...
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Transcript of Elbow Evaluation. History How did this injury occur? When did you hurt your elbow? Did you hear any...
![Page 1: Elbow Evaluation. History How did this injury occur? When did you hurt your elbow? Did you hear any sounds or feel a pop? Have you ever hurt this elbow.](https://reader035.fdocuments.us/reader035/viewer/2022062905/5a4d1b0e7f8b9ab05998d0c9/html5/thumbnails/1.jpg)
Elbow Evaluation
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History•How did this injury occur?•When did you hurt your elbow?•Did you hear any sounds or feel a pop?•Have you ever hurt this elbow before?•Pain level and type of pain•Continue activity?
![Page 3: Elbow Evaluation. History How did this injury occur? When did you hurt your elbow? Did you hear any sounds or feel a pop? Have you ever hurt this elbow.](https://reader035.fdocuments.us/reader035/viewer/2022062905/5a4d1b0e7f8b9ab05998d0c9/html5/thumbnails/3.jpg)
Observation•Carrying angle•Bilateral comparison of elbow (swelling,
deformity, discoloration)•Observes how athlete carries themselves,
or move
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Boney Palpation
•Humerus▫Medial Epicondyle – the boney protrusion of the
distal humerus on the medial aspect of the arm▫Lateral Epicondyle – the boney protrusion of the
disal humerus on the later aspect of the arm▫Olecranon fossa – a hollowed fossa at the distal
end of the posterior humerus which receives the olecranon during elbow extension
•Radius (radical dude!)•Ulna
▫Olecranon – a large process at the proximal end of the ulna which forms the point of the elbow
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Soft Tissue Palpation•Muscles
▫Biceps Brachii (elbow flexion; palm up)▫Triceps (elbow extension)▫Brachioradialis (elbow flexion; thumbs up)▫Brachialis (elbow flexion; palm down)▫Wrist Flexors (Medial)▫Wrist Extensors (Lateral)
•Ligaments▫Ulnar Collateral Ligament▫Radial Collateral Ligament▫Annular Ligament
•Nerves▫Ulnar Nerve▫Radial Nerve
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ROM and MMT (manual muscle test)
•Flexion: 0-145 Degrees•Extension: 0-10 Degrees•Supination: 0-90 Degrees•Pronation: 0-90 Degrees•Wrist Flexion: 0-90 Degrees•Wrist Extension: 0-90 Degrees•Radial Deviation: 0-20 Degrees•Ulnar Deviation: 0-30 Degrees
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Dermatomes and Myotomes•C-5•C-6•C-7•C-8•T-1
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Special Tests•Valgus Stress Test•Varus Stress Test•Tinnel Sign •Forceful Hyperextension•Tennis Elbow Test•Little Leaguer’s Elbow
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Injuries•Little League Elbow/ Golfer’s Elbow~
▫Strain of the Flexor-Pronator muscle group▫Often happens in younger kids
participating in little league▫Overuse injury ▫Pain on the medial epicondyle▫Tx
Increase strength by tubing exercises Wrist Flexors
Increase flexibility by stretching Wrist Extensors
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Tennis Elbow•Strain of the Extensor-Supinator muscle
group•Overuse injury•Pain on lateral epicondyle•Tx:
▫Increase strength by tubing exercises Wrist Extensors Elbow Flexion (3way)
▫Increase flexibility by stretching Wrist Flexors
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Olecranon Bursitis
• Causes▫Trauma▫Infection▫Prolonged Pressure▫Medical Conditions
Rheumatoid Arthritis Gout
• Sx▫Redness / swelling and pain▫Decreased ROM
• Tx▫R.I.C.E. ▫Anti-Inflammatory Drugs▫Padding of the elbow
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Injuries Continued
•FX▫Olecranon Process▫Humerus▫Ulna/Radius
•Radial Collateral Ligament▫Varus Stress Test▫Pain in Lateral joint line
•Ulnar Collateral Ligament▫Valgus Stress Test▫Pain in Medial joint line