Elbow and Forearm Evaluation Ms. Bowman

Anatomy Review Bones Articulations Ligaments Radius Ulna Humerus 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

Anatomy Review-Muscles Elbow Flexor and Supinator Group Biceps brachii-supinated Brachialis-pronated Brachioradialis-neutral Supinator Elbow Extensors Triceps brachii Anconeus Elbow Pronators Pronator teres Pronator quadratus

Anatomy Review-Muscles Medial Epicondyle Flexor carpi radialis Palmaris longus Flexor digitorum superficialis Flexor carpi ulnaris Lateral Epicondyle Extensor carpi radialis longus Extensor carpi radialis brevis Extensor carpi ulnaris Extensor digitorum communis muscles

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

Anatomy Review-Bursae Subcutaneous olecranon bursa Subtendinous olecranon bursa

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

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

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

Range of Motion Tests Flexion Extension Pronation Supination

Ligamentous Tests Valgus Stress Test Varus Stress Test

Neurological Tests Upper Quarter Screen- to learn with shoulder

Special Tests Elbow Sprain-Posterolateral rotatory instability test Epicondylitis-Tennis Elbow Test, Golfer’s Elbow Test Nerve Trauman-Tinel’s Sign