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Elbow Anatomy

 Medial

Epicondyle
 Lateral Epicondyle
 Trochlea and Capitulum
 Olecranon Process
 Ulna and Radius
 Radial Head
 Interosseus Membrane
 http://www.courses.vcu.edu/DANC291-00
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- Pic of Bony Anatomy

© 2007 McGraw-Hill Higher Education. All rights reserved.

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edu/healthsys/ei_0153.Elbow Anatomy  http://images.main.uab.jpg .

Elbow Anatomy (2)  Humeroulnar joint    ______________ Trochlea of humerus _______________ Flexion (0 – 150)  Extension (0)-some hyperextension(-5 to -15)  Ligaments:    _________________________ _________________________ .

Elbow Anatomy (3)  Radioulnar  Not joint part of elbow but associated with __________________________  Supported by the annular ligament which binds the head of the radius to the radial notch of the ulna forming the joint  ___________________________ .

main.Muscular Anatomy  ______________________  Brachioradialis (flexion with arm neutral)  Brachialis (flexion w/ pronation)  ______________________  Pronator Group (pronation)  ______________________  http://images.uab.jpg .biceps attachment .edu/healthsys/ei _0153.

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Blood and Nerve Supply  Bursa- _____________________  Blood supply  Brachial artery ___________  ___________   Nerve supply  Brachial plexus extends into the radial and ulna nerve*** .Bursa.

Prevention of Injuries  General muscular condition  Restrict pitching/ teach proper form  Make sure equipment is proper (ie: racquet).grip size. racquet weight  Teach shoulder roll method of fallingexample volleyball players rolling after a dig .

wrap and pad area Avoid aggressive stretching and strengthening Watch for ectopic bone formation  ________________________________ .Contusions MOI: Direct contact  HOPS     __________________________________ Limited range of motion TX     Rule out fracture first Ice.

infection  HOPS  ____________________________  Tx: ice. leaning on elbow for long periods.Olecranon Bursitis  Olecranon bursa is largest in elbow  MOI: fall on bent arm. pad area If associated with fever: refer _____________________________ . compression.

c om/issues/2000/03_00/mcfar land4.jpg http://www.physsportsmed.gif .http://www.aafp.org/afp/971101a p/salzfig3.

general strengthening of flexors/ pronators.Elbow Sprains (1 – UCL) MOI: valgus force. _________________________ ________________________________ . repetitive stress  HOPS:      Pain over medial joint especially in cocking phase or acceleration phase of throwing Point tenderness over joint line ____________________________________ ____________________________ Tx: rest.

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falling on outstretched hand  HOPS      Obvious deformity Snapping or cracking sensation Severe pain Forearm in flexion and appears shortened Tx:   immobilize and refer MED EMERGENCY Check neurovascular status .Elbow Dislocations MOI: ____________________________ ______________________________.

-http://www.com/sc2/seahawksportsmed/injpi x.html .worldortho.jpg http://www.com/database/introtrauma/pics/img0123.angelfire.

ecchymosis over medial epicondyle Pain aggravated by pronation and resisted flexion of wrist _________________________________ Tx: RICE. look at technique .Medial Epicondylitis ______________________________  MOI: repetitive tension or valgus forces on the arm  HOPS     Swelling. Strengthening/Stretching.

esportmed.com/smrn/figures/Golfer ElbowInjury.gif .http://www.

excessive string tension. gripping racket too tightly.Lateral Epicondylitis  __________________  Most common overuse injury in the adult elbow  MOI: _______________________ ______________________  Precursor: too large tennis racquet. faulty mechanics .

Lateral Epicondylitis (2)  HOPS     Pain over lateral epicondyle Pain with resisted wrist extension + tennis elbow test Tx    RICE __________________________________ _________________________ Counter force brace .

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Impingement of Ulnar nerve Ulnar nerve passes behind humerus in ulnar groove  _______________  HOPS        _________________ Can be caused from a medial elbow injury “crazy bone” or “funny bone” Tingling and numbness in ring and little finger __________________ Refer if chronic .

Strength Testing  Elbow flexion  Elbow extension  Wrist flexion and extension  Pronation  Supination .

Stress Tests  Valgus (UCL)/Varus (RCL) stress test – Positive Sign is laxity  Tennis Elbow test-(Lateral Epicondylitis) . Tinkling into Ulnar nerve region. .Positive Sign is increased pain  Tinel’s sign (Ulnar nerve) – Numbness.