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Elbow and Forearm Evaluation

Elbow and Forearm Evaluation. Ms. Bowman. Anatomy Review. Bones Radius Ulna Humerus Articulations Humeroulnar Joint Humeroradial Joint Proximal and Distal Radioulnar Joints Ligaments Ulnar Collateral Ligament (UCL) Lateral Ulnar Collateral Ligament (LUCL)

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Elbow and Forearm Evaluation

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  1. Elbow and Forearm Evaluation Ms. Bowman

  2. Anatomy Review • Bones • Radius • Ulna • Humerus • Articulations • Humeroulnar Joint • Humeroradial Joint • Proximal and Distal Radioulnar Joints • Ligaments • Ulnar Collateral Ligament (UCL) • Lateral Ulnar Collateral Ligament (LUCL) • Radial Collateral Ligament (RCL) • Annular Ligament • Accessory Lateral Collateral Ligament (ALCL) • Interosseuous Membrane

  3. Anatomy Review-Muscles • Elbow Flexor and Supinator Group • Biceps brachii-supinated • Brachialis-pronated • Brachioradialis-neutral • Supinator • Elbow Extensors • Triceps brachii • Anconeus • Elbow Pronators • Pronatorteres • Pronatorquadratus

  4. Anatomy Review-Muscles • Medial Epicondyle • Flexor carpiradialis • Palmaris longus • Flexor digitorumsuperficialis • Flexor carpiulnaris • Lateral Epicondyle • Extensor carpiradialislongus • Extensor carpiradialisbrevis • Extensor carpiulnaris • Extensor digitorumcommunis muscles

  5. Anatomy Review-Nerves • Median nerve-crosses the anterior elbow • Ulnar nerve-between olecranon process and the medial epicondyle • Radial nerve-posterior aspect of the humerus then crosses lateral elbow joint

  6. Anatomy Review-Bursae • Subcutaneous olecranon bursa • Subtendinousolecranon bursa

  7. History • Location of pain • Onset of the symptoms • MOI • Technique • Sounds, sensations (Rice Crispies) • Pmhx • General medical health

  8. Inspection • Anterior Structures • Carrying angle • Cubitalfossa • Medial Structures • Medial epicondyle • Flexor muscle mass • Lateral Structures • Alignment • Cubitalrecurvatum • Extensor muscle mass • Posterior Structures • Bony alignment • Olecranon process and bursa What are you looking for when you inspect the structures in these locations?

  9. Palpation • Anterior Structures • Biceps brachii • Cubitalfossa • Brachioradialis • Wrist flexor group • Pronatorquadratus • Medial Structures • Medial epicondyle • Ulna • Ulnar collateral ligament • Lateral Structures • Lateral epicondyle • Radial head • Lateral ulnar collateral ligament • Capitellum • Annular ligament • Radial collateral ligament • Posterior Structures • Olecranon process • Olecranonfossa • Triceps brachii • Anconeus • Ulnar nerve • Wrist extensors • Finger Extensors • Thumb musculature What are you looking for when you palpate these structures?

  10. Range of Motion Tests • Flexion • Extension • Pronation • Supination

  11. Ligamentous Tests • Valgus Stress Test • Varus Stress Test

  12. Neurological Tests • Upper Quarter Screen- to learn with shoulder

  13. Special Tests • Elbow Sprain-Posterolateralrotatory instability test • Epicondylitis-Tennis Elbow Test, Golfer’s Elbow Test • Nerve Trauman-Tinel’s Sign

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