2. ELBOW
DISLOCATIONS

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

4. POSTERIOR DISLOCATION
HYPEREXTENSION

5. FRACTURED HUMERUS HYPEREXTENSION
Brachial Artery
Median Nerve
HYPEREXTENSION

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

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

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

9. 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.

10. LATERAL EPICONDYLITIS

11. TENNIS ELBOW

12. LATERAL ASPECT OF THE ELBOW
Lateral Epicondyle
Common Extensor Attachment

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

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

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

16. 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.

17. Reduce Elbow Stress

18. Medial Epicondylitis (Golfer’s Elbow)

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

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

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

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

23. (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.)

24. BRACES ?

25. FRACTURED RADIUS

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

28. FRACTURED SCAPHOID

29. 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.

30. Scaphoid Fracture
MEDICAL REFERRAL

31. GAMEKEEPER'S THUMB

32. Ulnar Collateral Ligament of the first metacarpal- phalangeal joint.

33. FORCED VALGUS

34. MALLET FINGER

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

36. 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.