Presentation on theme: "Assistant professor, Sports medicine Department, IUMS"— Presentation transcript:
1Assistant professor, Sports medicine Department, IUMS ELBOW/FOREARM LABA.Mazaherinezhad MD.Assistant professor, Sports medicine Department, IUMS
2Assessment of the Elbow HistoryPast historyMechanism of injuryWhen and where does it hurt?Motions that increase or decrease painType of, quality of, duration of, pain?Sounds or feelings?How long were you disabled?Swelling?Previous treatments?
41Test for lat epicondyle For inflammation or injury of the extensor tendons of the wrist ( especially ext carpi radialis tendon in tennis elbow )Resisted extension of the wrist will elicite pain at the lat epicondyle.
46Test for medial epicondylitis Resisted flexion of the wrist will illicit discomfort at medial epicondyle in patients with inflamation of the flexor tendons of the wrist
47Circulatory and Neurological Function Pulse should be taken at brachial artery and radial arterySkin sensation should be checked - determine presence of nerve root compression or irritation in cervical or shoulder regionTinel’s signUlnar nerve testTap on ulnar nerve (in ulnar groove)Positive test is found when athlete complains of sensation along the forearm and hand
49Pronator Teres Syndrome Test Pinch Grip TestPinch thumb and index finger togetherInability to touch fingers together indicates entrapment of anterior interosseous nerve between heads of pronator musclePronator Teres Syndrome TestForearm pronation is resistedIncreased pain proximally over pronator teres indicates a positive test