chapter 19 - elbow - class copydsfds

7/25/2019 Chapter 19 - Elbow - Class Copydsfds

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Elbow Anatomy

Medial EpicondyleLateral Epicondyle

Trochlea and CapitulumOlecranon ProcessUlna and Radius

Radial Head Interosseus Membranehttp!!www"courses"#cu"edu!$A%C&'()**

+!elbow,-t"-p.) Pic o/ 0ony Anatomy
http://www.courses.vcu.edu/DANC291-003/elbow_jt.jpghttp://www.courses.vcu.edu/DANC291-003/elbow_jt.jpghttp://www.courses.vcu.edu/DANC291-003/elbow_jt.jpghttp://www.courses.vcu.edu/DANC291-003/elbow_jt.jpg


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2007 McGraw-Hill Higher Education. All rights reserved.


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Elbow Anatomy http!!ima.es"main"uab"edu!healthsys!ei,*(1+"-p.


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Elbow Anatomy 2&3

Humeroulnar -oint,,,,,,,,,,,,,, Trochlea o/ humerus

,,,,,,,,,,,,,,, 4le5ion 2* 6 (1*3 E5tension 2*3)some hypere5tension2)1 to )(13 Li.aments

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,


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Elbow Anatomy 2+3

Radioulnar -oint%ot part o/ elbow but associated with

,,,,,,,,,,,,,,,,,,,,,,,,,,

7upported by the annular li.ament which

binds the head o/ the radius to the radial

notch o/ the ulna /ormin. the -oint

,,,,,,,,,,,,,,,,,,,,,,,,,,,


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Muscular Anatomy

,,,,,,,,,,,,,,,,,,,,,,

0rachioradialis 2/le5ion with arm neutral3

0rachialis 2/le5ion w! pronation3,,,,,,,,,,,,,,,,,,,,,,

Pronator 8roup 2pronation3

,,,,,,,,,,,,,,,,,,,,,,http!!ima.es"main"uab"edu!healthsys!ei

,*(1+"-p.

) biceps attachment
http://images.main.uab.edu/healthsys/ei_0153.jpghttp://images.main.uab.edu/healthsys/ei_0153.jpghttp://images.main.uab.edu/healthsys/ei_0153.jpghttp://images.main.uab.edu/healthsys/ei_0153.jpg


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0ursa9 0lood and %er#e

7upply

0ursa) ,,,,,,,,,,,,,,,,,,,,,

0lood supply

0rachial artery,,,,,,,,,,,

,,,,,,,,,,,

%er#e supply0rachial ple5us e5tends into the radial and

ulna ner#e:::


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Pre#ention o/ In-uries

8eneral muscular condition

Restrict pitchin.! teach proper /orm

Ma;e sure e


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Contusions

MOI $irect contact HOP7

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Limited ran.e o/ motion T>

Rule out /racture /irst Ice9 wrap and pad areaA#oid a..ressi#e stretchin. and stren.thenin. ?atch /or ectopic bone /ormation

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,


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Olecranon 0ursitis

Olecranon bursa is lar.est in elbowMOI /all on bent arm9 leanin. on elbow

/or lon. periods9 in/ectionHOP7

,,,,,,,,,,,,,,,,,,,,,,,,,,,,

T5 ice9 compression9 pad area

I/ associated with /e#er re/er

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,


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Elbow 7prains 2( 6 UCL3

MOI #al.us /orce9 repetiti#e stress HOP7

Pain o#er medial -oint especially in coc;in. phase

or acceleration phase o/ throwin. Point tenderness o#er -oint line,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

,,,,,,,,,,,,,,,,,,,,,,,,,,,,

T5 rest9 .eneral stren.thenin. o/ /le5ors!pronators@ ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,


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http://www.digisys.net/fhspub/97-98/feb27/assets/images/pitching.gif


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Elbow $islocations

MOI ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,9 /allin. onoutstretched hand

HOP7 Ob#ious de/ormity 7nappin. or crac;in. sensation 7e#ere pain 4orearm in /le5ion and appears shortened

T5 immobili=e and re/er ME$ EMER8E%C Chec; neuro#ascular status


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-http://www.worldortho.com/database/intro-

trauma/pics/img0123.jpg

http://www.angelfire.com/sc2/seahawksportsmed/injpi

x.html


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Medial Epicondylitis

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,MOI repetiti#e tension or #al.us /orces on

the arm

HOP7) 7wellin.9 ecchymosis o#er medial epicondyle Pain a..ra#ated by pronation and resisted /le5ion

o/ wrist

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, T5 RICE9 7tren.thenin.!7tretchin.9 loo; at

techni


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http://www.esport!ed.co!/s!rn/$igures/Gol$er

El*ow+n)ur.gi$


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Lateral Epicondylitis

,,,,,,,,,,,,,,,,,,Most common o#eruse in-ury in the

adult elbowMOI ,,,,,,,,,,,,,,,,,,,,,,,

,,,,,,,,,,,,,,,,,,,,,,Precursor too lar.e tennis rac


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Lateral Epicondylitis 2&3

HOP7 Pain o#er lateral epicondyle

Pain with resisted wrist e5tension

B tennis elbow test

T5 RICE

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Counter /orce brace


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Impin.ement o/ Ulnar ner#e

Ulnar ner#e passes behind humerus in ulnar.roo#e

,,,,,,,,,,,,,,,

HOP7,,,,,,,,,,,,,,,,, Can be caused /rom a medial elbow in-ury cra=y boneD or /unny boneD

Tin.lin. and numbness in rin. and little /in.er,,,,,,,,,,,,,,,,,,

Re/er i/ chronic


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7tren.th Testin.

Elbow /le5ion

Elbow e5tension

?rist /le5ion and e5tension

Pronation

7upination


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7tress Tests

al.us 2UCL3!arus 2RCL3 stress test 6

Positi#e 7i.n is la5ity

Tennis Elbow test)2Lateral Epicondylitis3) Positi#e 7i.n is increased pain

TinelFs si.n 2Ulnar ner#e3 6 %umbness9

Tin;lin. into Ulnar ner#e re.ion"

chapter 19 - elbow - class copydsfds

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