ONE 2 Practical 1 Elbow
Order by
18 terms
Terms | Definitions |
|---|---|
 Valgus test | Stabilize the elbow and laterally rotate the distal extremity. Positive test:laxity of the ligament (ulnar collateral ligament) |
| Varus test | flex the elbow 20 to 30 degrees, stabilize the elbow and adduct the wrist while palpating the radial collateral ligament |
| fracture or sprain at elbow | percussion at various sites of elbow away from suspected area of trauma. positive sign: shooting pain to site of fracture or sprain, not at site of percussion. |
| acute sharp pain and swelling, pain with palpation over olecranon | olecranon fracture. percussion and compression. |
| localized pain specific to radial head, pain is acute/sharp/occured suddenly, swelling, pain with palpation over radial head, swelling/ecchymosis/possible deformity | radial head fracture. percussion and compression |
| ulnar collateral ligament sprain, most common among baseball and overhead throwers | d/t excessive valgus or hyperextension force. acute: partial or complete rupture of UCL an dmedial jt capsule, chronic: fibrosis of UCL. Valgus stress test. |
| posterior elbow dislocation | collateral ligament test for normal laxity |
| pain starts at outer aspect of elbow, radiating down posterior aspect of forearm, originally occurs after precipitating activity | lateral epicondylitis, aka tennis elbow. from excessive extension of the wrist, causing the extensor muscles' tendon which attaches to lateral epicondyle of the humerus to strain causing lateral epicondyle pain. Cozen's, Mills EDC |
| pain on medial epicondyle, originally occurs after precipitating activity, may progress to persistent pain with weakness, worse at night, aggravated by grasping/lifting/pinching, stiffness in AM | medial epicondylitis aka golfer's elbow. golfers elbow test, tinels test, valgus stress test (pain but w/o laxity) |
| paresthesias in ulnar aspect of hand and 4th and 5th digits, weakness or clumsiness, tenderness of ulnar nerve in cubital tunnel, edema | cubital tunnel syndrome, from excessive elbow flexion and wrist extension, Tinel's sign, seated elbow flexion test. |
| pain and/or aching in forearm, weakness in forearm, numbness in forearm, pain with supination and extension | pronator syndrome: repetitive pronation and pulling activities like grasping (weightlifting, gymnastics) causes hypertrophy and inflammation of pronator teres muscles resulting in compression of median nerve. pronator syndrome test. |
| Cozen's | Stabilize patient's elbow with thumb at lateral epicondyle. Pt makes a fist, pronates forearm while radially deviating and extending wrists while examiner resists the motion. Positive: sudden severe pain in area of lateral epicondyle indicating lateral epicondylitis (tennis elbow) |
| Mill's test | While palpating lateral epicondyle, examiner passively pronates forearm, flexes wrist and extends elbow. positive test: sudden severe pain over lateral epicondyle of humerus indicating lateral epicondylitis. |
| Extensor digitorum communis mmt | examiner resists extension of third digit of hand distal to pip joint, stressing the ext digitorum m. and tendon. positive if pain over lateral epicondyle indicating lateral epicondylitis. |
| golfer's elbow test/medial epicondylitis test | examiner passively supinates the forearm while extending the elbow and wrist. positive: pain over medial epicondyle. |
| tinel's sign | tap ulnar nerve in groove between olecranon process and medial epicondyle. positive if tingling sensation in ulnar distribution of forearm and hand. for medial epicondylitis and cubital tunnel syndrome. |
| seated elbow flexion test | patient fully flexes elbow with wrist extension, shoulder girdle abduction and depression, holds for 3-5 minutes. posititve if tingling sensation or parasthesia in ulnar nerve distribution of forearm and hand: cubital tunnel syndrome. |
| Pronator teres test | resist patient's pronation while extending the elbow |
First Time Here?
Welcome to Quizlet, a fun, free place to study. Try these flashcards, find others to study, or make your own.