Chapter%2011-Elbow%20Injuries - PowerPoint PPT Presentation

View by Category
About This Presentation
Title:

Chapter%2011-Elbow%20Injuries

Description:

Chapter 11-Elbow Injuries Subtitle – PowerPoint PPT presentation

Number of Views:133
Avg rating:3.0/5.0
Slides: 24
Provided by: CCSD151
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Chapter%2011-Elbow%20Injuries


1
Chapter 11-Elbow Injuries
  • Subtitle

2
Anatomy-Bones
  • Hinge joint
  • Humerus
  • Medial and lateral epicondyles
  • Radius
  • Allows for pronation supination
  • Lateral or thumb side
  • Ulna
  • medial or pinky side
  • Hooks to humerus

3
Anatomy-Ligaments
  • Ulnar collateral
  • Helps stabilize medially
  • Radial collateral
  • Lateral stabilization
  • Annular
  • Helps hold radius and ulna together
  • Interossius membrane
  • Between radius and ulna, runs length of the arm

4
Anatomy-muscles
  • Triceps
  • Elbow extension
  • Biceps
  • Elbow flexion
  • Wrist Flexors
  • Wrist extensors

5
Elbow Injuries
  • Prevention
  • Infrequent injury
  • Mostly overuse
  • Most common in racket sports
  • Stretching and strengthening important
  • Technique important
  • Equipment a factor (racket size, grip)
  • Proper rest

6
Common injuries and treatments
  • Ulnar collateral ligament sprain
  • Caused by overuse or direct blow (valgus stress)
  • Possible swelling, point tender
  • Possible joint laxity

7
Common injuries and treatments Ulnar collateral
ligament strains
  • Treat with RICE
  • May need to refer, rule out fractures or nerve
    damage
  • Rehab should include wrist flexor strengthening

8
Common injuries and treatments
  • Radial collateral ligament strains
  • Rare
  • Pain laterally
  • Rehab focus on extensors

9
Muscle and tendon injuries
  • Most often caused by excessive resistive forces
    or overuse
  • Mild, moderate, severe
  • Can occur either proximal or distal to elbow joint

10
Muscle and tendon injuries
  • Elbow flexor strain
  • Injury usually caused by a loaded movement of
    shoulder and elbow
  • Minimal swelling
  • weakness and discomfort common with resisted
    flexion
  • RICE, mild stretching and strengthening
  • Complete tears or ruptures need referral

11
Muscle and tendon injuries
  • Elbow extensor strain
  • Caused by excessive resistance (i.e.-attempting
    to break a fall)
  • Triceps can avulse, assess carefully
  • Pain with elbow extension
  • Minimal swelling
  • Treat w/RICE, mild stretching and strengthening

12
Muscle and tendon injuries
  • Wrist flexor strain
  • Pain over medial epicondyle or front forearm
  • Caused by excessive resistance during wrist
    flexion or overuse
  • Treat with PRICE, modify activity
  • Mild stretching and strengthen flexors

13
Muscle and tendon injuries
  • Wrist extensor strain
  • Pain usually over lateral epicondyle
  • Most often occur due to overuse
  • Treat with rice, modify activity
  • Mild stretching, reverse wrist curls for
    strengthening

14
Medial Epicondylitis
  • Golfers elbow or little league elbow
  • Chronic inflammation
  • Usually result of repetitive throwing
  • Not as common as lateral
  • Treat with PRICE, limit throwing, and strengthen
    wrist flexors
  • Can cause compression of ulnar nerve

15
Lateral epicondylitis
  • Tennis elbow
  • Chronic inflammation
  • Causes-overuse and poor mechanics
  • Can show minimal swelling
  • Treat with PRICE, tendon strap
  • Limit activity
  • Stretch and strengthen extensors

16
(No Transcript)
17
Bone Injuries
18
Bone injuries
  • Fractures to distal humerus rare
  • Direct impact is most common cause of fracture
  • Immediate referral due to possible nerve damage

19
Epiphyseal and Avulsion fractures
  • Epiphyseal fracture
  • Most common on medial epicondyle
  • Suspect if there is pain, swelling, and loss of
    movement
  • Young athlete more likely to injure growth plate
    that a fx or ligament injury
  • Avulsion fracture
  • Severe pain and deformity
  • Refer immediately for either injury

20
Ulnar dislocation
  • One of most commonly injured joints in body
  • Usually caused by violent hyperextension or sever
    blow to lateral aspect
  • Most often dislocates posteriorly
  • Splint immediately refer

21
Other elbow injuries
  • Hyperextension
  • Falling on outstretched arm or direct blow
  • Can cause
  • Sprain to ligaments of anterior elbow
  • Strain to muscles of anterior elbow
  • Painful bony compression of humerus by olecranon
    process
  • Treat with PRICE, refer if severe

22
Bursae
  • Bursae are fluid-filled cavities located at
    tissue sites where tendons or muscles pass over
    bony prominences near joints, such as the elbow.
    The function of a bursa is to facilitate movement
    and reduce friction between moving parts.

23
Other elbow injuries
  • Contusions
  • Common, treat with PRICE
  • Olecranon bursitis
  • Irritation of bursa due to direct blow to elbow
    fluid build up
  • Apply compression wrap, physician may drain
  • Protect with padding
About PowerShow.com