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...
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 before?•Pain level and type of pain•Continue activity?
Observation•Carrying angle•Bilateral comparison of elbow (swelling,
deformity, discoloration)•Observes how athlete carries themselves,
or move
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
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
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
Dermatomes and Myotomes•C-5•C-6•C-7•C-8•T-1
Special Tests•Valgus Stress Test•Varus Stress Test•Tinnel Sign •Forceful Hyperextension•Tennis Elbow Test•Little Leaguer’s Elbow
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
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
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
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