1. I Anatomy A. Bones
* Humerus- Medial and Lateral Epicondyle, and Olecranon fossa *Radius- Head of radius- allows for supination (“spins” on ulna) * Ulna- Olecranon process (bump) allows elbow to go to 180 degrees

2. Elbow Anatomy

3. Olecranon process and fossa

4. B. Muscles
Bicep Brachii
Tricep Brachii

6. B. Muscles * Elbow Flexor Muscles
Brachioradialis
Coracobrachialis/
Brachialis

7. * Wrist Flexors/Extensors
Extensor Digitorum

9. C. Ligaments
Medial Collateral Ligament (Ulna Collateral)
Lateral Collateral (Radial Collateral)
Annual Ligament

10. Lateral Collateral
Ligament
Medial Collateral
Ligament

11. Ligaments

12. D. Nerves

13. II Injuries 1. Medial Epicondylitis 2. Lateral Epicondylitis
Mech-
Symptoms-
TX-
2. Lateral Epicondylitis
Mech-
Symptoms-
TX-
3. MCL Sprain
Mech-
Symptoms-
TX-

16. Tennis Elbow Brace

17. MCL Sprain

19. Wind-up
Early Cocking
Late Cocking -Anterior Instability -RTC -SLAP -Quadrilateral Space Syndrome -Medial Elbow instability -Capitellar OCD
Acceleration -Internal Impingement -RTC -Scapulothoracic bursitis -Medial Elbow instability -Olecranon apophysitis / stress fx
Deceleration -RTC -SLAP -Subacromial impingement -Posteromedial Elbow impingement
Follow-through -Olecranon apophysitis / stress fx

20. III Assessment
History- Age? Sport? How long? Technique questions? Training?
Observation- Bilateral, Anatomical position and ‘natural’, atrophy/hypertrophy
Palpations- Swelling, PT, crepitus, pulse, insertions and origins of muscles

21. Assessment- Special Tests
1) PROM, AROM, and RROM all for flex, ext, pronation and supination
2) Valgus and Varus test-
Valgus for Ulna Collateral ligament
Varus for Radial Collateral ligament
* Perform test at full ext and 30 degrees flexion
3) Lateral and Medial Epicondylitis test-
a) Lateral- RROM of wrist extensor and pain on lateral epicondyle
b) Medial- RROM of wrist flexors and pain on medial epicondyle

22. IV. REhab
Phase 1- Ice or heat but be careful of ulna nerve
Phase 2- Regain ROM in elbow joint
(could be a problem if immobilized)
Stretching all muscles in wrist, elbow
and shoulder
Phase 3- Start with Isometric, then isotonic
Concentrate on wrist, elbow and shoulder movements

23. Phase 3 exercises Putty/grip strengthening Wrist curls
Putty/grip strengthening
Wrist curls
Pronation/supination
AIAAROM elbow extension/flexion
Broomstick roll-up

24. Elbow Rehab

25. Pronation and Supination
with theraband
Bicep curl with theraband

26. Thrower’s Ten

27. You think you have problems!

28. Colles Fracture