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| ==Biceps Tendon Rupture==
| | #REDIRECT[[Elbow diagnoses]] |
| ===Background===
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| *Vast majority are proximal
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| *Occurs w/ sudden or prolonged contraction in pt w/ chronic bicipital tenosynovitis
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| ===Clinical Features===
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| *Snap or pop is described
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| *Flexion of elbow elicits pain and may produce mid-arm "ball"
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| *Loss of strength is minimal
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| *Proximal
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| **Swelling and tenderness over bicipital groove
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| *Distal
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| **Swelling and tenderness over antecubital fossa
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| **Inability to palpate distal biceps tendon in antecubital fossa
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| ===Diagnosis===
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| *Obtain radiographs to rule-out avulsion fracture
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| ===Management===
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| *Sling, ice, and referral to ortho
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| **Surgical repair is usual for young, active pts
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| ==Triceps Tendon Rupture==
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| ===Background===
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| *Injury is rare and almost always occurs distally
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| *Results from FOOSH causing flexion of extended elbow or direct blow to olecranon
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| ===Clinical Features===
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| *Pain and swelling posteriorly just proximal to the olecranon
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| *Sulcus w/ a more proximal mass (retracted triceps) may be palpated
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| *With complete rupture ability to extend the elbow is lost
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| ===Diagnosis===
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| *Obtain radiographs to rule-out avulsion fracture
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| ===Management===
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| *Sling, ice, and referral to ortho
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| *Most partial tears can be treated conservatively w/ immobilization
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| ==Lateral Epicondylitis ("Tennis Elbow")==
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| ===Background===
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| *Overuse syndrome affecting the forearm, wrist, and digit extensors/supinators
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| ===Clinical Features===
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| *TTP over the lateral epicondyle and pain w/ forced extension and supination of forearm
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| ===Management===
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| *Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
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| ==Medial Epicondylitis (Golfer's Elbow")==
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| ===Background===
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| *Overuse syndrome affecting the wrist and digit flexors
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| *Also seen in pitchers and rock-climbers
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| ===Clinical Features===
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| *TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist
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| *Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle)
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| ===Management===
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| *Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
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| ==Olecranon Bursitis==
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| Injury:
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| Diag: Swelling; FROM; ?aspirate
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| Rx: Avoid trauma and excessive pressure; chronic = surg
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| ==See Also==
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| *[[Elbow Fracture]]
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| ==Source==
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| *Tintinalli
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| [[Category:Ortho]]
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