ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the...
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Transcript of ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the...
![Page 1: ELBOW DISLOCATIONS ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus.](https://reader033.fdocuments.net/reader033/viewer/2022042615/56649cc55503460f9498ed1c/html5/thumbnails/1.jpg)
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ELBOW
DISLOCATIONS
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ELBOW DISLOCATIONS
When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus.
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POSTERIOR DISLOCATION
HYPEREXTENSION
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FRACTURED HUMERUS
HYPEREXTENSION
Brachial ArteryMedian Nerve
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INITIAL ASSESSMENT OF THE ELBOW
(Deformity)
• Check radial pulse and instrinsics of the hand.
• Palpate supracondylar ridge of humerus.
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Deformity of the Elbow (2)
• Be aware of shock.
• Call ambulance (if you stand them they go vaso-vagal).
• Give the athlete space.
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SPRAINS OF THE ELBOW
Valgus stress affecting the medial collateral ligaments.
Varus stress affecting the lateral collateral ligaments.
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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.
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LATERAL EPICONDYLITIS
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TENNIS ELBOW
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Lateral Epicondyle
Common Extensor Attachment
LATERAL ASPECT OF THE ELBOW
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TENNIS ELBOW
Signs and Symptoms:• Pain before, during and
after activity.
• Pain on palpation.
• Pain on grasping, squeezing and pinching.
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INITIAL TREATMENTS
• Ice massage to the area.
• Stretching.
• Strengthening.
• Modification of activity.
• Changes in equipment.
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Pronate forearm, extend the elbow, flex the wrist,
(flex the fingers).
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With palm down grasp a light weight (2-4 kg.).
Extend the wrist. 3 sets of 15 reps; then increase
weight.
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Reduce Elbow Stress
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Medial Epicondylitis (Golfer’s Elbow)
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MEDIAL EPICONDYLITIS
Pronation, wrist flexion and elbow flexion.
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SIGNS AND SYMPTOMS
• Pain on use of affected muscles.
• May have slight swelling.
• Activity makes it worse.
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INITIAL TREATMENTS
• Icing or ice massage.
• Stretching.
• Strengthening.
• Equipment change or modification.
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Extend the fingers, extend the wrist and
extend the elbow.
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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.)
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BRACES ?
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FRACTURED RADIUS
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FRACTURED RADIUS
• Pain on radial side of forearm.
• Local tenderness.
• Passive forearm pronation painful.
• Swelling?
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FRACTURED SCAPHOID
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Scaphoid Fracture Fall on the extended
wrist
P.O.P. in anatomical snuff- box, may have swelling
Reduced painful wrist extension
Pain on radial deviation of the hand.
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Ulnar Collateral Ligament of the first
metacarpal- phalangeal joint.
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FORCED VALGUS
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MALLET FINGER
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Avulsion of Extensor Digitorum Longus
Tendon.
FORCE
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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.