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20 Cards in this Set

  • Front
  • Back
Inert tissues of elbow
Bones
Ligaments
Joints, Cartilage and Discs
Bursa
Bone Fracture Types of Elbow
Olecranon
Radial Head
Bone Fracture of Olecranon

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: direct contact on olecranon
overuse

Pathology: fracture of assoc. bone

Assoc. Injury: nerve trauma

Clinical Eval: local sharp and acute P to olecranon
Swelling
P with palpation
If chronic, P specific to insertion of triceps

Inspection: swelling, ecchymosis, possible skin rupture and/or deformity

ROM: decreased, apprehensive

MMT: none

Neuro: check U, R and M nerves, may complain of numbness

Circulatory: check Brachial and Radial pulses

Special Tests: percussion
compression
X-Ray!
Bone Fracture of Radial Head

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: FOOSH

Pathology: fracture of assoc. bone

Assoc. Injury: nerve trauma

Clinical Eval: Local sharp, acute, sudden pain at radial head
Swelling
P w/ palpation

Inspection: swelling, ecchymosis, possible deformity, carrying arm close to body

ROM: decreased - P w/ ALL motions

MMT: none

Neuro: check U, R and M nerves, may be numb

Circulatory: check Brachial and Radial pulses

Special Test: Percussion
Compression
X-Ray!
Acute Ligament Injuries of Elbow

Happens to?
Ulnar collateral ligament sprain (MC)

Happens commonly to baseball and overhead throwers
Ulnar collateral ligament sprain

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: Valgus or hyperextension force, acute or chronic

Pathology: Partial or complete rupture of UCL and medial joint capsule

Assoc. Injury: None

Clinical Eval: FOOSH, acute P at UCL, pop or snap heard

Inspection: mild, moderate edema, increased carrying angle, +/- ecchymosis

ROM: limited by pain

MMT: none

Neuro: assoc. injury of ulnar nerve trauma

Circulatory: none

Special Test: valgus stress test
Acute Injuries to Joints, Cartilage and Discs of Elbow

MC?
Dislocation of Elbow (UH joint)

Posterior MC
Dislocation of Elbow (UH joint)

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI:FOOSH/ hyperextension forces transmitted to elbow joint

Pathology: Rupture of U and R collateral ligaments. ANT capsule with POST or POST LAT displacement of U and R.

Assoc. Injury: Brachial artery trauma, Volkmann's contracture
Median nerve injury

Clinical Eval: Hx - PMH or dislocation, achy P, swelling, paresthesia or hypoesthesia

Inspection: swelling, atropy

ROM: limited

MMT: weak

Neuro: possible U, R or M nerve damage

Circulatory: none

Special Test: Collateral Ligament Tests for laxity
Acute Injuries to Bursa of Elbow
Olecranon Bursitis
Olecranon Bursitis

MOI:
Pathology:
Assoc. Injury:
Observation:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: direct trauma, falling on flexed elbow

Pathology: contusion of olecranon bursa -> inflammation and distension of bursa

Assoc. Injury: none

Observation: swelling, tenderness over bursa, pain w/ elbow flexion and extension

ROM: limited due to P and end of range

MMT: Within Nl Limits

Neuro: Within Nl limits

Circulatory: none

Special Test: none
Inert tissues of elbow
Bones
Ligaments
Joints, Cartilage and Discs
Bursa
Bone Fracture Types of Elbow
Olecranon
Radial Head
Bone Fracture of Olecranon

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: direct contact on olecranon
overuse

Pathology: fracture of assoc. bone

Assoc. Injury: nerve trauma

Clinical Eval: local sharp and acute P to olecranon
Swelling
P with palpation
If chronic, P specific to insertion of triceps

Inspection: swelling, ecchymosis, possible skin rupture and/or deformity

ROM: decreased, apprehensive

MMT: none

Neuro: check U, R and M nerves, may complain of numbness

Circulatory: check Brachial and Radial pulses

Special Tests: percussion
compression
X-Ray!
Bone Fracture of Radial Head

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: FOOSH

Pathology: fracture of assoc. bone

Assoc. Injury: nerve trauma

Clinical Eval: Local sharp, acute, sudden pain at radial head
Swelling
P w/ palpation

Inspection: swelling, ecchymosis, possible deformity, carrying arm close to body

ROM: decreased - P w/ ALL motions

MMT: none

Neuro: check U, R and M nerves, may be numb

Circulatory: check Brachial and Radial pulses

Special Test: Percussion
Compression
X-Ray!
Acute Ligament Injuries of Elbow

Happens to?
Ulnar collateral ligament sprain (MC)

Happens commonly to baseball and overhead throwers
Ulnar collateral ligament sprain

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: Valgus or hyperextension force, acute or chronic

Pathology: Partial or complete rupture of UCL and medial joint capsule

Assoc. Injury: None

Clinical Eval: FOOSH, acute P at UCL, pop or snap heard

Inspection: mild, moderate edema, increased carrying angle, +/- ecchymosis

ROM: limited by pain

MMT: none

Neuro: assoc. injury of ulnar nerve trauma

Circulatory: none

Special Test: valgus stress test
Acute Injuries to Joints, Cartilage and Discs of Elbow

MC?
Dislocation of Elbow (UH joint)

Posterior MC
Dislocation of Elbow (UH joint)

MOI:
Pathology:
Assoc. Injury:
Clinical Eval:
Inspection:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI:FOOSH/ hyperextension forces transmitted to elbow joint

Pathology: Rupture of U and R collateral ligaments. ANT capsule with POST or POST LAT displacement of U and R.

Assoc. Injury: Brachial artery trauma, Volkmann's contracture
Median nerve injury

Clinical Eval: Hx - PMH or dislocation, achy P, swelling, paresthesia or hypoesthesia

Inspection: swelling, atropy

ROM: limited

MMT: weak

Neuro: possible U, R or M nerve damage

Circulatory: none

Special Test: Collateral Ligament Tests for laxity
Acute Injuries to Bursa of Elbow
Olecranon Bursitis
Olecranon Bursitis

MOI:
Pathology:
Assoc. Injury:
Observation:
ROM:
MMT:
Neuro:
Circulatory:
Special Test:
MOI: direct trauma, falling on flexed elbow

Pathology: contusion of olecranon bursa -> inflammation and distension of bursa

Assoc. Injury: none

Observation: swelling, tenderness over bursa, pain w/ elbow flexion and extension

ROM: limited due to P and end of range

MMT: Within Nl Limits

Neuro: Within Nl limits

Circulatory: none

Special Test: none