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Elbow Injuries. OBJECTIVES Describe the basic anatomy of the arm and elbow.Describe the basic anatomy of the arm and elbow. Explain common arm and elbow.

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Presentation on theme: "Elbow Injuries. OBJECTIVES Describe the basic anatomy of the arm and elbow.Describe the basic anatomy of the arm and elbow. Explain common arm and elbow."— Presentation transcript:

1 Elbow Injuries

2 OBJECTIVES Describe the basic anatomy of the arm and elbow.Describe the basic anatomy of the arm and elbow. Explain common arm and elbow injuries that occur with athletic participation.Explain common arm and elbow injuries that occur with athletic participation. Identify common signs and symptoms of arm and elbow injuries.Identify common signs and symptoms of arm and elbow injuries. Explain common treatment parameters performed by a CTA for elbow injuries.Explain common treatment parameters performed by a CTA for elbow injuries.

3 The elbow is prone to muscle and tendon injuries because it is the site of many muscle attachments. Normal ROM Flexion 0-145Flexion 0-145 Extension 0-15Extension 0-15 Pronation 0-75Pronation 0-75 Supination 0-85Supination 0-85

4 Anatomy Hinge Joint- Moves in flexion and extensionHinge Joint- Moves in flexion and extension 3 Bones – Humerus, radius and ulna3 Bones – Humerus, radius and ulna Radius allows the forearm to pronate and supinateRadius allows the forearm to pronate and supinate

5 Ligaments A ligament called the joint capsule surrounds the elbowA ligament called the joint capsule surrounds the elbow Ulnar Collateral Lig. (Medial Collateral Lig.)- Helps stabilize the insideUlnar Collateral Lig. (Medial Collateral Lig.)- Helps stabilize the inside Radial Collateral Lig. (Lateral Collateral Lig.)- Helps stabilize the outsideRadial Collateral Lig. (Lateral Collateral Lig.)- Helps stabilize the outside Annular Ligaments- Helps to hold the radius and ulna together near the elbow joint.Annular Ligaments- Helps to hold the radius and ulna together near the elbow joint.

6 Ligaments of the Elbow

7 Anatomy Cont. Muscles Triceps perform elbow extensionTriceps perform elbow extension Biceps perform elbow flexionBiceps perform elbow flexion Wrist flexors attach to the medial epicondyle of the humerus and run toward the hand and perform flexion of the wristWrist flexors attach to the medial epicondyle of the humerus and run toward the hand and perform flexion of the wrist Wrist extensors attach the later epicondyle of the humerus and run toward the hand and perform extension of the wrist.Wrist extensors attach the later epicondyle of the humerus and run toward the hand and perform extension of the wrist.

8 Muscles of the Elbow

9 Review Think-Pair-Share

10 Types of Elbow Injuries Many of the injuries that happen to the elbow are due to overuse. Stretching and strengthening-Don’t forget about the wrist flexors and extensorsStretching and strengthening-Don’t forget about the wrist flexors and extensors Proper techniqueProper technique Proper equipmentProper equipment Alter activity and rest after long days of throwing. Rules protect pitchers in baseball.Alter activity and rest after long days of throwing. Rules protect pitchers in baseball.

11 Treating Elbow Injuries Ulnar Collateral Lig. Sprain –More prone to sprains than other ligaments of the elbow –Caused by repetitive movements –Caused by a direct blow Signs & Symptoms –Medial elbow pain –Swelling Treatment –PRICE –Moderate or Severe may need to be splinted –Strengthen wrist flexors

12 Radial Collateral Lig. Sprains Signs & Symptoms Same as ulnar except for pain is on the lateral sideSame as ulnar except for pain is on the lateral sideTreatment –Same as UCL –Strengthen wrist extensors

13 Muscle and Tendon Injuries – Most often caused by either excessive resistive forces or overuse

14 Elbow Flexor Strain Caused by a loaded movement that include the elbow and shoulder together. Signs & Symptoms Minor strainsMinor strains Discomfort at the anterior aspect of the elbowDiscomfort at the anterior aspect of the elbow Minimal swelling if anyMinimal swelling if any Weakness when elbow flexion is resistedWeakness when elbow flexion is resisted Moderate strainsModerate strains Mild to moderate swellingMild to moderate swelling WeaknessWeaknessTreatment PRICE until swelling gonePRICE until swelling gone Mild stretching and strengtheningMild stretching and strengthening

15 Elbow Extensor Strain - Caused by excessive resistance to the triceps muscle - Can happen when falling and attempt to break the fall with an outstretched arm Signs & Symptoms Same as Elbow Flexor Strains, pain at posterior side of the upper arm.Same as Elbow Flexor Strains, pain at posterior side of the upper arm.Treatment Same as Elbow Flexor StrainSame as Elbow Flexor Strain

16 Wrist Flexor Strain Caused by excessive resistance during wrist flexion movement or more commonly from overuseCaused by excessive resistance during wrist flexion movement or more commonly from overuse Signs & Symptoms Pain over the medial epicondyle of the humerus or the front of the forearmPain over the medial epicondyle of the humerus or the front of the forearmTreatment PRICEPRICE Activity modifiedActivity modified Mild stretching and strengtheningMild stretching and strengthening

17 Wrist Extensor Strains Caused by excessive resistance during wrist extension movements or more commonly from overuseCaused by excessive resistance during wrist extension movements or more commonly from overuse Signs & Symptoms Pain over the lateral epicondyle of the humerusPain over the lateral epicondyle of the humerusTreatment PRICEPRICE Activity ModifiedActivity Modified Mild stretching and strengtheningMild stretching and strengthening

18 Review!

19 Lateral Epicondylitis (Tennis Elbow) Caused by Poor mechanicsCaused by Poor mechanics OveruseOveruse Signs & Symptoms Pain over the lateral epicondyle of the humerusPain over the lateral epicondyle of the humerus Minimal swellingMinimal swellingTreatment PRICEPRICE Limiting activityLimiting activity Mild stretching of the extensor tendonsMild stretching of the extensor tendons Strengthening and endurance of the musclesStrengthening and endurance of the muscles

20 Medial Epicondylitis (Little League Elbow) Not as commonNot as common Caused by repetitive throwingCaused by repetitive throwing Signs & Symptoms Pain over the medial epicondyle of the humerusPain over the medial epicondyle of the humerusTreatment Same as Lateral EpicondylitisSame as Lateral Epicondylitis

21 Epiphyseal and Avulsion Fractures More common on the medial epicondyleMore common on the medial epicondyle Suspect an epiphyseal injury whenever an athlete presents with swelling, pain, and loss of movement.Suspect an epiphyseal injury whenever an athlete presents with swelling, pain, and loss of movement. Suspect an avulsion fracture when there is sever pain and deformity.Suspect an avulsion fracture when there is sever pain and deformity.

22 Ulna Dislocation The elbow is one of the most commonly dislocated joints in the bodyThe elbow is one of the most commonly dislocated joints in the body Caused by a violent hyperextension or a severe blow to the lateral aspect of the elbowCaused by a violent hyperextension or a severe blow to the lateral aspect of the elbow Signs & Symptoms Notice an obvious deformityNotice an obvious deformityTreatment Splint in the position found inSplint in the position found in Refer to DR.Refer to DR.

23 Review!


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