Elbow (Minor): Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
==Biceps Rupture== | ==Biceps Tendon Rupture== | ||
===Background=== | ===Background=== | ||
*Vast majority are proximal | *Vast majority are proximal | ||
| Line 21: | Line 21: | ||
**Surgical repair is usual for young, active pts | **Surgical repair is usual for young, active pts | ||
==Triceps Rupture== | ==Triceps Tendon Rupture== | ||
===Background=== | ===Background=== | ||
*Injury is rare and almost always occurs distally | *Injury is rare and almost always occurs distally | ||
Revision as of 08:51, 12 February 2012
Biceps Tendon 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 Tendon 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