Flashcards in Elbow Deck (15)
List the stabilising factors of the elbow joint
Static: Coronoid process, radial head, olecranon
Dynamic: muscles around the elbow joint
Describe the normal range of motion of the elbow joint
Elbow flexion 0-145 degrees
Supination 0-180 degrees
Define lateral epicondylitis
Pain in the region of the lateral epicondyle, which is exacerbated by active and resisted movements of the extensor muscles of the forearm.
Explain the pathology of lateral epicondylitis
Microtrauma to the insertion of the forearm extensor muscles, as a result of repetitive extensive of the wrist and grip-intensive activities.
What differential diagnoses should be excluded in suspected lateral epicondylitis
Referred pain from the cervical spine
Osteoarthritis of the elbow
Radial tunnel syndrome: compression of the posterior interosseous nerve
What test can be used to diagnose lateral epicondylitis?
Maudsley's test: pain in region of lateral epicondyle during resisted extension of the middle finger.
Describe the initial treatment options for lateral or medial epicondylitis
Analgesia: NSAIDs, paracetamol +/- codeine
Discuss the further treatment options for lateral or medial epicondylitis
Referral to physiotherapy
Wrist splints and straps
Extracorporeal shock wave therapy
Surgical: debridement with tendon repair or release
Define medial epicondylitis
Pain in the region of the medial epicondyle, which is exacerbated by active and resisted movements of the flexor muscles of the forearm.
Explain the pathology of medical epicondylitis
Microtrauma to the insertion of pronator teres and the forearm flexor muscles, as a result of repetitive flexion of the wrist and grip-intensive activities.
What test can be used to diagnose medial epicondylitis?
Golfer's elbow test: pain around medial epicondyle on supination and extension of the wrist and elbow.
What is cubital tunnel syndrome?
Ulnar neuropathy due to compression of the ulnar nerve as it travels within the cubital tunnel.
Outline the borders of the cubital tunnel
Medial: medial epicondyle of the humerus
Lateral: olecranon process of the ulna
Roof: epicondylo-olecranon ligament
Describe the clinical findings of cubital tunnel syndrome
Impaired grip strength
Tenderness over cubital tunnel
Numbness of medial side of hand