ELBOW DISLOCATIONS

ELBOW DISLOCATIONS When discussing elbow dislocations, we talk about the direction that the ulna exited from under the humerus.

POSTERIOR DISLOCATION HYPEREXTENSION

FRACTURED HUMERUS HYPEREXTENSION Brachial Artery Median Nerve HYPEREXTENSION

INITIAL ASSESSMENT OF THE ELBOW (Deformity) Check radial pulse and instrinsics of the hand. Palpate supracondylar ridge of humerus.

Deformity of the Elbow (2) Be aware of shock. Call ambulance (if you stand them they go vaso-vagal). Give the athlete space.

SPRAINS OF THE ELBOW Valgus stress affecting the medial collateral ligaments. Varus stress affecting the lateral collateral ligaments.

MUSCLE FUNCTION AROUND THE ELBOW Medial Epicondyle: Pronation of the forearm, wrist flexion, elbow flexion. Lateral Epicondyle: Supination of the forearm, wrist extension, elbow flexion.

LATERAL EPICONDYLITIS

TENNIS ELBOW

LATERAL ASPECT OF THE ELBOW Lateral Epicondyle Common Extensor Attachment

TENNIS ELBOW Signs and Symptoms: Pain before, during and after activity. Pain on palpation. Pain on grasping, squeezing and pinching.

INITIAL TREATMENTS Ice massage to the area. Stretching. Strengthening. Modification of activity. Changes in equipment.

Pronate forearm, extend the elbow, flex the wrist, (flex the fingers).

With palm down grasp a light weight (2-4 kg. ). Extend the wrist With palm down grasp a light weight (2-4 kg.). Extend the wrist. 3 sets of 15 reps; then increase weight.

Reduce Elbow Stress

Medial Epicondylitis (Golfer’s Elbow)

Pronation, wrist flexion and elbow flexion. MEDIAL EPICONDYLITIS Pronation, wrist flexion and elbow flexion.

SIGNS AND SYMPTOMS Pain on use of affected muscles. May have slight swelling. Activity makes it worse.

INITIAL TREATMENTS Icing or ice massage. Stretching. Strengthening. Equipment change or modification.

Extend the fingers, extend the wrist and extend the elbow.

(3 set of 15 reps starting with 4 kg.) Grasp the weight with the palm up. Flex the wrist to the maximum and let it down into extension. (3 set of 15 reps starting with 4 kg.)

BRACES ?

FRACTURED RADIUS

Pain on radial side of forearm. FRACTURED RADIUS Pain on radial side of forearm. Local tenderness. Passive forearm pronation painful. Swelling?

FRACTURED SCAPHOID

Scaphoid Fracture Fall on the extended wrist P.O.P. in anatomical snuff- box, may have swelling Reduced painful wrist extension Pain on radial deviation of the hand.

Scaphoid Fracture MEDICAL REFERRAL

GAMEKEEPER'S THUMB

Ulnar Collateral Ligament of the first metacarpal- phalangeal joint.

FORCED VALGUS

MALLET FINGER

Avulsion of Extensor Digitorum Longus Tendon. FORCE Avulsion of Extensor Digitorum Longus Tendon.

MALLET FINGER Distal phalanx falls into flexion; unable to hold the finger straight when passively extended. Pain on palpation of the finger nail bed. Medical referral.