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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! |
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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 |
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Acute Injuries to Bursa of Elbow
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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 |