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Ch. 20 Elbow and Forearm. Objectives. Define the major landmarks of the elbow List major injuries and conditions of the elbow. Anatomy. Hinge joint 3 major bones Humerus Radius-on thumb side of forearm Ulna-on pinky side of forearm Ulna is hooked on the end of the humerus
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Objectives • Define the major landmarks of the elbow • List major injuries and conditions of the elbow
Anatomy • Hinge joint • 3 major bones • Humerus • Radius-on thumb side of forearm • Ulna-on pinky side of forearm • Ulna is hooked on the end of the humerus • Radius rests next to humerus therefore allowing supination and pronation
Ligaments • Ulnar Collateral-on the medial side • Radial Collateral-on the lateral side • Annular-encircles the head of the radius • Interosseous Membrane-connects the radius to the ulna
Muscles • Flexors • Brachialis-major flexor • Biceps Brachii-also supinates hand • Brachioradialis • Extensors • Triceps Brachii • Anconeus
Contusion • Vulnerable area due to lack of padding • Result of direct blow or fall • S/S: swelling and/or bruising • Treatment: RICE, x-ray if not improving
Olecranon Bursitis • Caused by direct blow or fall • S/S: swelling, pain • Treatment: RICE, can be aspirated by doctor • Easily infected due to abrasions on elbow
Ulnar Nerve Contusion • Hitting your funny bone • The ulnar nerve runs behind the medial epicondyle • Caused by a direct blow • S/S: pain, burning and tingling sensation down medial side of forearm • Should alleviate in mins
Elbow Sprains • MOI: hyperextension or valgus/varus stress • S/S: ‘pop’, sharp pain, swelling • Ulnar collateral sprains are more common due to throwing mechanics • Treatment: RICE, strengthen wrist flexor or extensors, surgery if ruptured
Medial Epicondylitis • Golfer’s Elbow • Little League Elbow • Irritation of the wrist flexors causing pain at the medial epicondyle • Treat with RICE, NSAIDs, change in mechanics
Lateral Epicondylitis • Tennis Elbow • Inflammation of the wrist extensors causing pain at the lateral epicondyle • Same treatment as medial epicondylitis
Elbow Dislocation • Most common is posterior dislocation • MOI: falling on outstretched hand • Obvious deformity • Splint, stabilize, check circulation, check motor and sensory function • Refer to doctor
Elbow Fracture • Direct blow or falling on arm • Common in children • S/S: Point tenderness, swelling, increase pain with movement • Refer to doctor for x-rays
Volkmann’s Contracture • Occurs in the absence of blood flow to the forearm • Causes muscles to shorten • Usually associated with elbow fractures, bleeding disorders, animal bites