Elbow and Forearm

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Author:
jacho
ID:
250599
Filename:
Elbow and Forearm
Updated:
2013-12-04 18:34:02
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Elbow Forearm
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Elbow and Forearm
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  1. Elbow Bones and Muscles
    • Ulna, Radius, Humerus
    •  
    • Biceps (flexor), Triceps (extensor)
  2. History Questions
    • –Past
    • history

    • –Mechanism
    • of injury

    • –When
    • and where does it hurt?

    • –Motions
    • that increase or decrease pain

    • –Type
    • of, quality of, duration of, pain?

    • –Sounds
    • or feelings?

    • –How
    • long were you disabled?

    –Swelling?

    • –Previous
    • treatments?
  3. Carrying Angle
    • Cubitus Valgus
    • Cubitus Varus
  4. Bony and Soft tissue
    • Medial and lateral epicondyles
    • Olecranon Process
    • Annular Ligament
    • Brachialis
    • Brachioradialis
    • Supinator
    • Pronator Teres
    • Wrist Flexors and Extensors
  5. Tinel's sign
    • tap median nerve
    • -pos = sensation in forearm
    • Test for carpal tunnel syndrome
  6. Circulatory function
    pulse at radial and brachial artery
  7. Test for Pronator Teres Syndrome
    • Pronation resisted
    • pos = pain
  8. most commonly injured ligament
    UCL

    Esp baseball
  9. Ligaments
    • UCL (baseball)
    • Radial Collateral Ligament aka LCL (Tennis/overhead athletes)
    • Annular Ligament
  10. Volkmann's Contracture
    Supracondylar fracture - Causes swelling/bone pressure on brachial artery - inhibits circulation

    Can cause irreversible muscle damage 4-6 hrs

    can lead to compartment syndrome/necrosis

    • S+S
    • Pain in forearm, incr with finger extension
    • Loss of radial/brachial pulse
    • coldness

    • TR -
    • Referral
    • Remove wraps/compression
  11. Little League Elbow
    • Repeated microtrauma due to excessive throwing
    • Can pull pieces of bone off
    • Can lead to breakdown of joint
    • Stunt medial growth plate and and accelerate other growth plates

    • S+S
    • Slow onset
    • Locking/catching sensation
    • Decr ROM in pronation/supination

    • TR
    • Stop throwing until symptoms resolve
    • RICE
    • Triceps Strengthening
    • Proper mechanics
  12. Medial/Lateral Epicondylitis
    • degeneration of tendon w/o inflammation
    • Lateral = tennis elbow

    Pain w activity

    RICE, anti-inflammatory, strengthening
  13. Elbow Osteochondritis Dissecans
    • Joint mice
    • Impairment of blood supply to anterior surface
    • Pieces of bone and cartilage break loose in joint
    • Repetitive microtrauma - young athletes throwing

    S+S = sudden pain, locking
  14. Dislocation
    prone to reinjury

    • Splint and refer to physician
    • Deformity, swelling
    • Immobilization for 3-4 weeks
  15. Elbow fracture
    • splint and refer
    • Check pulse before and after splinting
    • early ROM
  16. Ulnar/Radius Fracture
    • Splint and refer
    • Can be cleared to play with cast
  17. forearm blood supply
    radial and ulnar atery
  18. forearm nerves
    • median = flexors
    • radial = extensors
  19. Colle's Fracture
    • Distal end of radius or ulna
    • Usually falling on outstretched hand
  20. Forearm Splint
    • Like shin splints - gymnasts esp
    • pain in forearm
    • injury to interosseus ligaments

    RICE, anti inflammatory, compression wraps

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