Download
recognition and management of elbow injuries n.
Skip this Video
Loading SlideShow in 5 Seconds..
Recognition and Management of Elbow Injuries PowerPoint Presentation
Download Presentation
Recognition and Management of Elbow Injuries

Recognition and Management of Elbow Injuries

123 Views Download Presentation
Download Presentation

Recognition and Management of Elbow Injuries

- - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

  1. Recognition and Management of Elbow Injuries

  2. Olecranon bursitis Cause: result of direct blow; superficial location makes it prone to injury S&S:  Care: ice packs, compression, padding, possible aspiration

  3. Elbow strains Cause: excessive resisted motion such as a fall on outstretched hand with elbow in extension that forces joint into hyperextension S&S: pain with active and resistive movement, point tenderness in muscle, tendon or muscle belly Care: RICE; rehab, modalities, x-ray if loss of motion

  4. Ulnar Collateral Ligament Injuries Cause: valgus force from repetitive trauma S&S: medial elbow pain, tenderness over UCL, laxity Care: Rest, rehab: strengthening, modalities, correct throwing mechanics, possible surgery “tommy john”

  5. Epicondylitis Cause: repeated forearm flexion and extension movements; small micro-tears at muscle attachments S&S: pain at epicondyles during forced wrist flexion/extension; radiating pain, point tenderness, mild swelling Care: rest, modalities for pain, rehab, brace

  6. Elbow dislocation Cause: fall on outstretched arm with elbow in hyperextension, twist with elbow in flexion S&S:  Care: call 9-1-1, referral for reduction, sling, ice

  7. Little League Elbow Cause: occurs in 10-25% young pitchers; caused by repetitive microtrauma that occurs from throwing and not from the type of pitch thrown; includes many disorders of growth in the pitching elbow that may include: • an accelerated apophyseal growth region plus a delay in the medial epicondylar growth plate • A traction apophysitis with a possible fragmentation of the medial epicondylar apophysis • An avulsion of the medial epicondyle of the radial head • Osteochondrosis of the humeral capitellum • A nonunion stress fx of the olecranon epiphysis

  8. S&S: onset is usually slow, in the beginning the athlete may have a flexion contraction, with tightness of anterior joint capsule and weakness of triceps muscle, complains of locking or catching,  ROM of forearm supination/pronation Care: RICE, NSAIDs, no throwing until full ROM, stretching, triceps strengthening, correct throwing techniques

  9. The Forearm, Wrist, Hand and Fingers

  10. Forearm Injuries • Colles Fracture Cause: fall on outstretched hand, forcing forearm backward and upward into hyperextension S&S: deformity of wrist, profuse swelling Care: cold, splint wrist, forearm in sling, x-ray, immobilize for 1-2 months

  11. Injuries to the Wrist • Sprains/Strains Cause - sprain most common, most poorly managed; abnormal forced movements or falling on hyperextended wrist S&S: generalized swelling, tenderness, limited range of motion Care: RICE, modalities, rehab: strengthening, taping

  12. Scaphoid fractures • Most frequently fractured carpal bone • Without proper splinting, the scaphoid fx may have difficulty healing due to inadequate blood supply Cause: force on the outstretched hand S&S: same as severe sprain; swelling and point tenderness in anatomical snuffbox Care: ice, splinting, xray, immobilization usually 6wks, rehab

  13. Wrist ganglion Cause: herniation of joint capsule or synovial sheath; usually appears slowly after wrist strains S&S: lump, pain, feels soft, rubbery or very hard Care: aspiration of cyst, chemical cauterization with a pressure pad, surgical removal

  14. Injuries to the Hand and Fingers • Dislocations of the phalanges Cause: force is directed upward from palmar side displacing either 1st or 2nd joint dorsally, resulting in tearing of supporting capsular tissue with hemmorhaging S&S: deformity, pain, swelling Care: reduction, xray, splinting

  15. Gamekeeper’s Thumb (UCL sprain of MCP joint) Cause: forceful abduction combined with hyperextension S&S: pain over UCL, weak and painful pinch, tenderness, swelling Care: refer to orthopedic, splint usually 3wks, rehab, taping

  16. Mallet finger Cause: force that strikes the tip of finger, avulsing the extensor tendon S&S:  Care: RICE, xray, splint in extension

  17. Boutonniere deformity Cause: trauma to tip of finger rupturing the extensor tendon dorsal to the middle phalanx S&S: severe pain; inability to extend DIP joint; swelling; point tenderness; obvious deformity Care: ice; splinting; xray