Download Elbow

ELBOW
DISLOCATIONS
ELBOW DISLOCATIONS
When discussing
elbow dislocations,
we talk about the
direction that the
ulna exited from
under the humerus.
POSTERIOR DISLOCATION
HYPEREXTENSION
FRACTURED HUMERUS
Brachial Artery
Median Nerve
HYPEREXTENSION
INITIAL ASSESSMENT
OF THE ELBOW
(Deformity)
• Check radial pulse and
instrinsics of the
hand.
• Palpate supracondylar
ridge of humerus.
Deformity of the Elbow (2)
• Be aware of shock.
• Call ambulance (if you
stand them they go
vaso-vagal).
• Give the athlete
space.
SPRAINS OF THE ELBOW
Valgus stress affecting
the medial collateral
ligaments.
Varus stress affecting
the lateral collateral
ligaments.
MUSCLE FUNCTION
AROUND THE ELBOW
Medial Epicondyle:
Pronation of the forearm,
wrist flexion, elbow flexion.
Lateral Epicondyle:
Supination of the forearm,
wrist extension, elbow
flexion.
LATERAL EPICONDYLITIS
TENNIS ELBOW
LATERAL ASPECT
THE ELBOW
Lateral
Epicondyle
Common Extensor
Attachment
OF
TENNIS ELBOW
Signs and Symptoms:
• Pain before, during and
after activity.
• Pain on palpation.
• Pain on grasping,
squeezing and
pinching.
INITIAL TREATMENTS
• Ice massage to the area.
• Stretching.
• Strengthening.
• Modification of activity.
• Changes in equipment.
Pronate forearm, extend
the elbow, flex the wrist,
(flex the fingers).
With palm down grasp a light
weight (2-4 kg.). Extend the
wrist. 3 sets of 15 reps;
then increase weight.
Reduce Elbow Stress
Medial Epicondylitis
(Golfer’s Elbow)
MEDIAL EPICONDYLITIS
Pronation, wrist flexion and
elbow flexion.
SIGNS AND SYMPTOMS
• Pain on use of affected
muscles.
• May have slight swelling.
• Activity makes it worse.
INITIAL TREATMENTS
• Icing or ice massage.
• Stretching.
• Strengthening.
• Equipment change or
modification.
Extend the fingers, extend
the wrist and extend the
elbow.
Grasp the weight
with the palm up.
Flex the wrist to
the maximum and
let it down into
extension.
(3 set of 15 reps
starting with 4
kg.)
BRACES ?
FRACTURED
RADIUS
FRACTURED RADIUS
• Pain on radial side of
forearm.
• Local tenderness.
• Passive forearm
pronation painful.
• Swelling?
FRACTURED SCAPHOID
Scaphoid Fracture
Fall on the extended wrist
P.O.P. in anatomical snuffbox, may have swelling
Reduced painful wrist
extension
Pain on radial deviation of
the hand.
Ulnar Collateral Ligament
of the first metacarpalphalangeal joint.
FORCED VALGUS
MALLET FINGER
F
O
R
C
E
Avulsion of Extensor
Digitorum Longus
Tendon.
MALLET FINGER
Distal phalanx falls into
flexion; unable to hold
the finger straight when
passively extended.
Pain on palpation of the
finger nail bed.
Medical referral.