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Elbow Injuries Little League Elbow O Inflammation over medial epicondyle of humerus O Attachment of forearm flexors Medial Epicondylitis O Known as Little League Elbow O MOI – overuse, too many pitches O S&S – pain medial condyle of humerus O TX – ICE and REST Pitch Counts started in 2006 Lateral Epicondylitis Lateral Epiconylitis O Known as tennis elbow O Inflammation of the wrist extensors O Pain at the attachment of the lateral epicondyle of the humerus Lateral Epicondylitis O MOI – overuse O S&S – point tender over lateral epicondyle of humerus, swelling, weakness O TX – rest, rest, rest, and ICE, ICE, ICE O Movement causes scar tissue to form, athlete may need ultrasound and NSAIDS to heal. Olecranon Bursitis O MOI – blow or fall tip the elbow O S&S – tons of swelling, loss of ROM O TX – ICE and compression wrap, pad for activity ULNAR NERVE CONTUSION O MOI – direct blow to “funny bone” O Ulnar nerve runs in a groove between the olecranon process and medial epicondyle O S&S – parasthesia down ulnar side of forearm, 4th5th fingers O TX – ice and pad for sport ELBOW DISLOCATION Elbow dislocation O MOI – FOTOSA with O O O O elbow locked Dislocates POSTERIORLY Fracture common with dislocation S&S – obvious deformity, loss ROM TX – ice, sling, hospital to be reduced Elbow hyperextension O Hypermobility of elbow O Females tends to have natural hyperextension O Damage to ligaments, bones, tendons surrounding the elbow Elbow hyperextension O MOI – posterior force when are is fixed, FOTOSA O S&S – pain, muscle spasm, swelling, and loss of strength O TX – RICE, splint, surgery for fractures and complete tears Elbow Sprains O MOI – medial or lateral force upon elbow while elbow is fixed. O Tear of ulnar or radial collateral ligaments O RICE, surgery for 3rd degree Ruptured biceps (tendonitis) O Can occur at the proximal ( shoulder) or distal (elbow) insertion O Ice, rest, ultrasound, NSAID, surgery for 3rd degree tears O Torn distal bicep tendon ( steroids) Fractures O MOI – sudden force to arm - FOTOSA or severe torsion force Fractured Humerus Fractured ulna and radius( false joint) Fractured ulna and radius Fractured growth plate – base 1st metacarpal Plates and screws to improve healing process External fixation External Fixation