Elbow (Minor): Difference between revisions
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== | ==Biceps Rupture== | ||
===Background=== | |||
*Vast majority are proximal | |||
*Occurs w/ sudden or prolonged contraction in pt w/ chronic bicipital tenosynovitis | |||
===Clinical Features=== | |||
*Snap or pop is described | |||
*Flexion of elbow elicits pain and may produce mid-arm "ball" | |||
*Loss of strength is minimal | |||
*Proximal | |||
**Swelling and tenderness over bicipital groove | |||
*Distal | |||
**Swelling and tenderness over antecubital fossa | |||
**Inability to palpate distal biceps tendon in antecubital fossa | |||
===Diagnosis=== | |||
*Obtain radiographs to rule-out avulsion fracture | |||
===Management=== | |||
*Sling, ice, and referral to ortho | |||
**Surgical repair is usual for young, active pts | |||
== | ==Triceps Rupture== | ||
Injury | ===Background=== | ||
*Injury is rare and almost always occurs distally | |||
*Results from FOOSH causing flexion of extended elbow or direct blow to olecranon | |||
===Clinical Features=== | |||
*Pain and swelling posteriorly just proximal to the olecranon | |||
*Sulcus w/ a more proximal mass (retracted triceps) may be palpated | |||
*With complete rupture ability to extend the elbow is lost | |||
===Diagnosis=== | |||
*Obtain radiographs to rule-out avulsion fracture | |||
===Management=== | |||
*Sling, ice, and referral to ortho | |||
*Most partial tears can be treated conservatively w/ immobilization | |||
==Lateral Epicondylitis ("Tennis Elbow")== | |||
===Background=== | |||
*Overuse syndrome affecting the forearm, wrist, and digit extensors/supinators | |||
===Clinical Features=== | |||
*TTP over the lateral epicondyle and pain w/ forced extension and supination of forearm | |||
===Management=== | |||
*Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace) | |||
==Medial Epicondylitis (Golfer's Elbow")== | |||
===Background=== | |||
*Overuse syndrome affecting the wrist and digit flexors | |||
*Also seen in pitchers and rock-climbers | |||
===Clinical Features=== | |||
*TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist | |||
*Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle) | |||
===Management=== | |||
*Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace) | |||
==Olecranon Bursitis== | ==Olecranon Bursitis== | ||
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==See Also== | ==See Also== | ||
*[[Elbow Fracture]] | |||
==Source== | ==Source== | ||
*Tintinalli | |||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 07:44, 8 February 2012
Biceps Rupture
Background
- Vast majority are proximal
- Occurs w/ sudden or prolonged contraction in pt w/ chronic bicipital tenosynovitis
Clinical Features
- Snap or pop is described
- Flexion of elbow elicits pain and may produce mid-arm "ball"
- Loss of strength is minimal
- Proximal
- Swelling and tenderness over bicipital groove
- Distal
- Swelling and tenderness over antecubital fossa
- Inability to palpate distal biceps tendon in antecubital fossa
Diagnosis
- Obtain radiographs to rule-out avulsion fracture
Management
- Sling, ice, and referral to ortho
- Surgical repair is usual for young, active pts
Triceps Rupture
Background
- Injury is rare and almost always occurs distally
- Results from FOOSH causing flexion of extended elbow or direct blow to olecranon
Clinical Features
- Pain and swelling posteriorly just proximal to the olecranon
- Sulcus w/ a more proximal mass (retracted triceps) may be palpated
- With complete rupture ability to extend the elbow is lost
Diagnosis
- Obtain radiographs to rule-out avulsion fracture
Management
- Sling, ice, and referral to ortho
- Most partial tears can be treated conservatively w/ immobilization
Lateral Epicondylitis ("Tennis Elbow")
Background
- Overuse syndrome affecting the forearm, wrist, and digit extensors/supinators
Clinical Features
- TTP over the lateral epicondyle and pain w/ forced extension and supination of forearm
Management
- Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
Medial Epicondylitis (Golfer's Elbow")
Background
- Overuse syndrome affecting the wrist and digit flexors
- Also seen in pitchers and rock-climbers
Clinical Features
- TTP over medial epicondyle and pain w/ forced flexion and pronation of forearm/wrist
- Ulnar neuropathy may develop (given proximity of ulnar nerve to medial epicondyle)
Management
- Conservative: rest, ice, NSAIDs, immobilization (often via counterforce brace)
Olecranon Bursitis
Injury:
Diag: Swelling; FROM; ?aspirate
Rx: Avoid trauma and excessive pressure; chronic = surg
See Also
Source
- Tintinalli