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Elbow and Forearm Evaluation

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Presentation on theme: "Elbow and Forearm Evaluation"— Presentation transcript:

1 Elbow and Forearm Evaluation
Ms. Bowman

2 Anatomy Review Bones Articulations Ligaments Radius Ulna Humerus
Humeroulnar Joint Humeroradial Joint Proximal and Distal Radioulnar Joints Ligaments Ulnar Collateral Ligament (UCL) Lateral Ulnar Collateral Ligament (LUCL) Radial Collateral Ligament (RCL) Annular Ligament Accessory Lateral Collateral Ligament (ALCL) Interosseuous Membrane

3 Anatomy Review-Muscles
Elbow Flexor and Supinator Group Biceps brachii-supinated Brachialis-pronated Brachioradialis-neutral Supinator Elbow Extensors Triceps brachii Anconeus Elbow Pronators Pronator teres Pronator quadratus

4 Anatomy Review-Muscles
Medial Epicondyle Flexor carpi radialis Palmaris longus Flexor digitorum superficialis Flexor carpi ulnaris Lateral Epicondyle Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris Extensor digitorum communis muscles

5 Anatomy Review-Nerves
Median nerve-crosses the anterior elbow Ulnar nerve-between olecranon process and the medial epicondyle Radial nerve-posterior aspect of the humerus then crosses lateral elbow joint

6 Anatomy Review-Bursae
Subcutaneous olecranon bursa Subtendinous olecranon bursa

7 History Location of pain Onset of the symptoms MOI Technique
Sounds, sensations (Rice Crispies) Pmhx General medical health

8 Inspection Anterior Structures Medial Structures Lateral Structures
Carrying angle Cubital fossa Medial Structures Medial epicondyle Flexor muscle mass Lateral Structures Alignment Cubital recurvatum Extensor muscle mass Posterior Structures Bony alignment Olecranon process and bursa What are you looking for when you inspect the structures in these locations?

9 What are you looking for when you palpate these structures?
Palpation Lateral Structures Lateral epicondyle Radial head Lateral ulnar collateral ligament Capitellum Annular ligament Radial collateral ligament Posterior Structures Olecranon process Olecranon fossa Triceps brachii Anconeus Ulnar nerve Wrist extensors Finger Extensors Thumb musculature Anterior Structures Biceps brachii Cubital fossa Brachioradialis Wrist flexor group Pronator quadratus Medial Structures Medial epicondyle Ulna Ulnar collateral ligament What are you looking for when you palpate these structures?

10 Range of Motion Tests Flexion Extension Pronation Supination

11 Ligamentous Tests Valgus Stress Test Varus Stress Test

12 Neurological Tests Upper Quarter Screen- to learn with shoulder

13 Special Tests Elbow Sprain-Posterolateral rotatory instability test
Epicondylitis-Tennis Elbow Test, Golfer’s Elbow Test Nerve Trauman-Tinel’s Sign

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