Elbow special tests, conditions

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Non-neuromuscularskeletal conditions that may refer to the elbow
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Terms in this set (30)
Non-neuromuscularskeletal conditions that may refer to the elbow
acute MI
Pancoast tumor
Esophageal motor disorders
non-neuromuscularskeletal conditions that may refer to the elbow with acute painful swelling
Gout
Septic Arthritis
Hemarthrosis
Soft tissue abscess
Cellulitis
Reactive arthritis
Carcinoma/Metastatic
Anterior elbow pain may be
Distal bicep tendon rupture
Medial elbow pain may be
Ulnar collateral ligament
Cubital tunnel syndrome
medial epicondylitis
Lateral elbow pain may be
Posterolateral rotary instability
Lateral elbow tendinopathy lateral epicondylitis
Radial tunnel syndrome
Posterior elbow pain may be
Triceps tendon rupture
Elbow extension test position and purpose
Have pt in seated supinate forearm, flex shoulder to 90 degrees and then full extend elbow
If pt is unable to extend this may indicate a fracture and a X-ray may be recommended.
Elbow flexion test: position and purpose
Seated with arms and shoulder in anatomical position and then elbows are flexed. (3mins)
Positive sign (reproduction of pain, tingling, or numbness)
Cubital tunnel syndrome
Pressure provocation test
Position and purpose
finger positioned proximal to cubital tunnel
Cubital tunnel
Medial epicondylitis test
position and purpose
Grasp distal humorous and palpate the medial epicondyle, passively supinate the patients forearm, extend wrist and fingers and fully extend elbow.
+ test if pain over medial epicondyle
Pinch grip test purpose and positionOkay sign + test- thumbs together AIN (median nerve)Moving Valgus stress test position and purposeShoulder 90 degrees abducted, fully flexed elbow, modest valgus torque is applied to the elbow until the shoulder reaches fell external rotation. Then quickly extended to 30 with valgus torque. +test if reproduction of medial elbow pain when extended Medial collteral ligament tearPush up test/ chair push up test Position and purposePush up + test apprehension or dislocation of the radial head as elbow extends Demonstrates posterolateral rotary instabilityHook test position and purposePt actively flexing elbow to 90 and fully supinated Examiner attempts to hook the bicep tendon + inability to hook tendon Distal bicep tendon ruptureBicep squeeze test position and purposeforearm Resting in lap resting in lap, elbow flexed 60-80 degrees and slight pronation. Squeeze biceps +test no supination indicates rupture of bicep tendonCozen's Test Position and purposePalpate the lateral epicondyle with his or her thumb. Patient makes a fist with the forearm in pronation and radial deviation of the wrist. Patient extends wrist against force applied by PT. + test reproduction of symptoms Lateral epicondylitisMills Purpose and positionPt standing and shoulder and elbow extened, passive wrist flexion pronation. +test-reproduction of pain over lateral epicondyle Lateral epicondylitisMaudsley's test position and purposeresist third digit extension, stressing extension digitorum andCondition? Caused by repetitive forearm pronation and wrist flexion sudden changes in stress level failure of UCL to stabilize valgus Common in carpenters, golfers overhead athletes Tendinosis of flexor-pronator mass Full ROM tender distal to the medial epicondyle pain weakness with resisted elbow flexion in chronic cases pain with passive wrist extensionmedial epicondylitisCondition? caused by repetitive throwing, dislocation, and FOOSH This ligament provides 1/3 of valgus stability in extension and 1/2 in 90 degrees of flexion may pop medial elbow pain loss of throwing skills tender to palpationmedial collateral ligament or valgus instabilityCondition? Mechanism of injury- Traction from valgus stress, valgus deformity, flexion contracture. parethesias in ulnar distribution clumsiness of fingers non painful snapping during elbow flexion/extensionCubital Tunnel SyndromeCondition? forced transmitted to medial epicondyle leads to apophysitis and avulsion fractures increased prevelence with number of pitchesLittle league elbow Valgus overload syndrome (improve shoulder IR)Condition? Overuse injury Risk factor obesity smoking repetitive movement 35-54yo incideous onset pain worsens with activity tenderness to palpation middle finger extension reproduces painLateral epicondylitis overuse of extensor carpi radials brevisCondition? causes Elbow dislocation laterogenic (lateral tendinopathy surgeries) disrupted radial collateral ligament radial head subluxation may occur/cause it Elbow discomfort lateral pain clicking/snapping giving outVarus instability Posterolateral rotary instability orcondition? Aching muscle in dorsal forearm tiredness tenderness over radial tunnel discomfort during resisted forearm supination and or middle finger extension associated with repetitive gripping, elbow flexion/extension and vibration exposure. Weakness of fingers and thumb extensorsradial nerve entrapment (radial tunnel syndrome has no motor changes more distal pain than epicondylitits)What is the most common site of compression for PIN?arcade of Froshe (superior part of supinator muscleCondition? seen in those with medial elbow instability painful click or snap possible restriction of elbow tenderness posterior to lateral epicondyleRadiocapitellar pathologyCondition? Greatest in males40-60 occurs with rapid eccentric contraction increased with smoking and steroid use pop at time of injury acute onset weaknessbicep tendon ruptureCondition Cause. Overloading on extended elbow, abrupt eccentric contraction Frequent in soccar players and weightlifters more common in those with lupus, RA or chronic olecronon bursitis pop at time of injury palpable gap at proximal to olecranon tipTriceps tendon ruptureCondition? Intractable pain in non-peripheral nerve distribution Hyperalgesia and anxiety regarding movement Edema with sensory and motor changes Increased hair or nail growth Glossy thin skin Temperature changes/Cyanotic AtrophyComplex Regional pain syndrome