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