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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
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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"