Elbow (Minor)
Biceps Tendon Rupture
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