1 / 29

Pathologies of the Elbow

Pathologies of the Elbow. By Stephanie Belsh And Bobbi Snow. Lateral Epicondylitis (tennis elbow). Pathology 30 – 50 years old Repetitive micro-trauma Chronic tear in the origin of the extensor carpi radialis brevis lateral epicondyle Muscle imbalance.

normanevans
Download Presentation

Pathologies of the Elbow

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. Pathologies of the Elbow By Stephanie Belsh And Bobbi Snow

  2. Lateral Epicondylitis (tennis elbow) • Pathology • 30 – 50 years old • Repetitive micro-trauma • Chronic tear in the origin of the extensor carpi radialis brevis lateral epicondyle • Muscle imbalance

  3. Lateral Epicondylitis (tennis elbow) • Mechanism of Injury • Overuse syndrome caused by repeated forceful wrist and finger movements • Tennis players • Prolonged and rapid activities

  4. Lateral Epicondylitis (tennis elbow) • Clinical Signs and Symptoms • Increased pain • Tenderness in palpation • Tests • Passive • Active • Lidocaine

  5. Medial Epicondylitis (golfer’s elbow) • Pathology • 30 - 50 years old • Repetitive micro trauma • Muscle imbalance

  6. Medial Epicondylitis (golfer’s elbow) • Mechanisms of injury • Throwing a baseball • Racquetball or tennis • Swimming backstroke • Hitting a golf ball

  7. Medial Epicondylitis (golfer’s elbow) • Clinical signs and symptoms • Increased pain • Tenderness on palpation • Tests • Passive • Active • Lidocaine

  8. Lateral and Medial Epicondylitis • Common Treatments • Physical Therapy • Medical • Surgery • Injury prevention

  9. Ulnar Neuritis • Pathology • Superficial position at the elbow • Excessive pressure in this area • 30-60 years • Second most common entrapment neuropathy in the upper extremity

  10. Ulnar Neuritis • Mechanism of injury • Repeated activities • Compression of the ulnar nerve • Fractures • Dislocation

  11. Ulnar Neuritis • Clinical signs and symptoms • Local tenderness • R/O subluxation • Nerve conduction study/EMG • Sensory changes • Delayed injury onset

  12. Ulnar Neuritis • Common treatments • Non-operative • Surgical intervention • Preventions

  13. Medial Overload Syndrome in Throwers • Pathology • Repetitive stress • Mechanism of injury • Pitching • Partial or complete avulsion of the medial apophysis • Articular cartilage and subchondral bone changes

  14. Medial Overload Syndrome in Throwers • Mechanism of injury (continued) • Avulsion of the posterior olecranon epiphysis • Stress fracture • Ulnar nerve neuritis medially

  15. Medial Overload Syndrome in Throwers • Clinical signs and symptoms • Persistent medial elbow soreness • Arm fatigue is the 1st indicator of impending injury • Medial tenderness • Elbow pain

  16. Medial Overload Syndrome in Throwers • Common treatments • Non-operative • Surgical interventions • Prevention.

  17. Pronator Tunnel Syndrome (proximal median nerve compression) • Pathology • Possible sights of compression • Between the humeral and Ulnar heads of Pronator Teres • Supracondylar process of the humerus • Lacertus fibrosus • Proximal edge of the flexor digitorum superficialis

  18. Pronator Tunnel Syndrome (proximal median nerve compression) • Mechanism for injury • Women • Repetitive movements • Clinical Signs and Symptoms • Pain in the anterior forearm • Paresthesias or dysesthesias • Altered sensation • Tests

  19. Pronator Tunnel Syndrome (proximal median nerve compression) • Common Treatments • Physical Therapy • Medical • Surgery • Injury prevention

  20. Anterior Interosseus Nerve Syndrome • Pathology • Areas of possible compression • Between the head of the pronator teres • The proximal tendon of flexor digitorum superficialis • An accessory muscle

  21. Anterior Interosseus Nerve Syndrome • Mechanism for Injury • Repetitive elbow flexion with forearm pronated • Spontaneously • Trauma or fractures • Clinical Signs and Symptoms • Pain • No sensory complaints or losses • Significant muscular weakness

  22. Anterior Interosseus Nerve Syndrome • Common Treatments • Physical Therapy • Medical • Surgery • Injury prevention

  23. Radial Tunnel syndrome • Pathology • Radial nerve compressed: • In the proximal radial tunnel • The tendon of extensor carpi radialis brevis • The superficial part of the supinator tendon. • Mechanism of injury

  24. Radial Tunnel syndrome • Clinical signs and symptoms • Pain and discomfort • Sensory changes • Low dexterity in finger extension • Resistive tests • Common treatments • Prevention

  25. Posterior Interosseous Nerve Syndrome • Pathology • Compression or entrapment of the nerve • Mechanism of injury • Repetitive motion • Clinical signs and symptoms • Pain

  26. Posterior Interosseous Nerve Syndrome • Clinical signs and symptoms (cont.) • Loss of active extension • Tenderness • Weakness • Common treatments • Prevention

  27. The End

More Related