ELBOW INJURIES Unit 6 The Elbow, Forearm, Wrist, and Hand Sports Medicine ELBOW INJURIES Unit 6 The Elbow, Forearm, Wrist, and Hand

ELBOW DISLOCATION Sports Medicine Description: Posterior displacement of the ulna and radius in relationship to humerus resulting in a tearing (partial or complete) of stabilizing ligaments.

ELBOW DISLOCATION Sports Medicine MOI: Fall on an outstretched hand with the elbow in a hyperextended position.

ELBOW DISLOCATION Signs and Symptoms Pain Deformity Loss of function Sports Medicine Signs and Symptoms Pain Deformity Loss of function Swelling Numbness in the hand and forearm Circulatory deficit

ELBOW DISLOCATION AIM: RIC Splint Refer to physician DO NOT REDUCE Sports Medicine AIM: RIC Splint Refer to physician DO NOT REDUCE DISLOCATION

ELBOW DISLOCATION Rehab ROM (how) Bicep & Triceps strengthening (how) Forearm strengthening Propriocetive exercises Functional test

LATERAL EPICONDYLITIS Sports Medicine Description: Inflammation of the lateral epicondyle of the humerus.

LATERAL EPICONDYLITIS Sports Medicine MOI: Chronic strain in the region of lateral epicondyle of the humerus due to overuse in the motions of wrist supination and extension. (Top spin on a tennis backhand stroke.)

LATERAL EPICONDYLITIS Sports Medicine Signs and Symptoms: Pain and point tenderness on the lateral epicondyle of the humerus side. Pain and strength loss when attempting wrist extension and wrist supination.

LATERAL EPICONDYLITIS Sports Medicine AIM: RICE Ice Massage Transverse massage Brace/Tape

LATERAL EPICONDYLITIS Rehab Increase flexibility (how) Forearm strengthening Proprioceptive exercises

MEDIAL EPICONDYLITIS Sports Medicine Description: Inflammation of the medial epicondyle of the humerus. Sometimes referred to as “little league elbow”.

MEDIAL EPICONDYLITIS Sports Medicine MOI: Overuse typically in overhand throwing activities requiring wrist flexion.

MEDIAL EPICONDYLITIS Signs and Symptoms: Sports Medicine Signs and Symptoms: Pain and point tenderness on the medial epicondyle of the humerus side. Pain and strength loss when attempting wrist flexion and wrist pronation.

MEDIAL EPICONDYLITIS AIM: RICE Ice Massage Transverse massage Sports Medicine AIM: RICE Ice Massage Transverse massage Brace/Tape

MEDIAL EPICONDYLITIS Rehab Increase flexibility (how) Forearm strengthening Proprioceptive exercises

OLECRANON BURSITIS Sports Medicine Description: The olecranon bursa is located between the olecranon process and the skin. Inflammation of the olecranon bursa.

OLECRANON BURSITIS MOI: Sports Medicine MOI: The bursa usually becomes inflamed as a result of a direct blow.

OLECRANON BURSITIS Signs and Symptoms: Pain Rapid swelling Sports Medicine Signs and Symptoms: Pain Rapid swelling Point tenderness

OLECRANON BURSITIS AIM: RICE Sports Medicine AIM: RICE Aspiration may be indicated to increase healing rate. Compress (how) ROM (how)

ULNAR COLLATERAL LIGAMENT SPRAINS Sports Medicine Description: UCL sprain.

ULNAR COLLATERAL LIGAMENT SPRAINS Sports Medicine MOI: UCL injuries occur when a valgus stress is placed on the elbow.

ULNAR COLLATERAL LIGAMENT SPRAINS Sports Medicine Signs and Symptoms Pain on medial aspect of elbow. Tenderness over medial collateral ligament. Positive valgus stress test indicating joint laxity

ULNAR COLLATERAL LIGAMENT SPRAINS Sports Medicine AIM: RICE Refer to physician (Surgical repair is referred to as “Tommy John” surgery.

ULNAR COLLATERAL LIGAMENT SPRAINS Rehab ROM (how) Bicep & Triceps strengthening (how) Forearm strengthening Proprioceptive exercises Functional test