1 / 7

Upper Extremity H&P: Elbow Exam

Upper Extremity H&P: Elbow Exam. WEEK 1 ORTHO CURRICULUM. General Ortho Physical Exam Maneuvers. Inspection Palpation Range of Motion Muscle Strength Special Tests Always think about the joint above and below where the pain is and examine that joint. INSPECTION.

gari
Download Presentation

Upper Extremity H&P: Elbow Exam

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Upper Extremity H&P: Elbow Exam WEEK 1 ORTHO CURRICULUM

  2. General Ortho Physical Exam Maneuvers Inspection Palpation Range of Motion Muscle Strength Special Tests Always think about the joint above and below where the pain is and examine that joint

  3. INSPECTION • Look for redness, swelling, warmth -> think septic arthritis • Look at olecrenon bursa – should see bony prominence • If looks boggy or like a golf ball -> think bursitis Olecrenon bursitis

  4. PALPATION • Olecrenon: should be bony, if boggy, warm -> think bursitis • Epicondyles: should be prominent • Radial Head: very important because many occult fractures • Palpate distal to the lateral epicondyle on the radial side, then pronate and supinate and should feel the radial head moving under fingers –> look for pain which may indicate radial head fx

  5. RANGE OF MOTION Elbow Flexion: 135o Elbow Extension: 0o Pronation (palms down) Supination (palms up)

  6. STRENGTH TESTING Resisted forearm flexion/extension Resisted wrist extension/flexion Resisted long finger extension Pain at elbow with resisted forearm/wrist/finger extension -> may be lateral epicondylitis Pain at elbow with resisted forearm/wrist flexion -> may be medial epicondylitis

  7. SPECIAL TESTS • Rupture of Ulnar Collateral Ligament (rare) • UCL is on the medial aspect of the elbow • Valgus stress – arm in partial extension, stress on the lateral aspect of the elbow, opens up the medial joint space -> pain may indicate rupture

More Related