Elbow Flashcards

(61 cards)

1
Q

What joint of the humerus aligns with the head of the radius

A

Capitulum

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2
Q

What part of the humers aligns with the ulna

A

Trochlea

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3
Q

How man humeral fossae name them

A

2 Fossae

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4
Q

How many recesses (jct btwn 2 bones

A

4 Recesses. Key point-2 bones equal one joing and 1 joint equals 1 recess or joint space

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5
Q

Image of humeral fossae

A

fat pads not displayed

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6
Q

Image of olecranon fossa LAX

A

Note humeral troch

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7
Q

Reivew of the 4 elbow recess

A

a jct bwtween 2 bones

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8
Q

Image lateral and annular recess

A

radio capitellar joing

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9
Q

Image of medial recess 3

A

Humero ulnar joint anterior

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10
Q

image of posterior recess

A

humer ulnar joint posterior

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11
Q

Name the 4 muscles orginating from the common extensor tendon Lateral compatment

A

ECRB ED EDM ECU

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12
Q

Image of Extnsor digiti minimi

A

Its relationship with ED

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13
Q

True or False Does the anconeous orginat on the common extensor tendon

A

FALSE

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14
Q

What lies deep to the commone extensor tendon

A

The Radial collateral ligament RCL. Common extensor tendon takes up 60% and the other 40% is RCL at the lateal epicondyle

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15
Q

Name the common flexor tendons

A

FCU FDS FCR

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16
Q

True or False the pronator tere orginates from the common flexor tendon

A

False orignates just proximal to the common flexor or medial epicondyle

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17
Q

Anterior band of the UCL has a normal gap of and an abnormal gap of what with valgus stress

A

normal is less 2mm and abnormal is greater than 2mm

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18
Q

What are muscles that do not orginate at the common extensor or flexor bu provide moement of the elbow

A

Biceps brachii flex Brachialis flexor of forearm Brachioradialis flexes forearm Supinator supinate forearm Triceps brachii extensor of forearm

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19
Q

Image lateral approach to the distal biceps tendon

A

must supinate hand

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20
Q

Image injection set up for lateral approach

A

probe in plane and short axis

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21
Q

Image of distal bicep dorsal approach

A

Hand in pronation

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22
Q

What are the nerves at the anterior elbow

A

radial posterior interosseous median and ulnar

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23
Q

Image of anterior pyramid

A

radial n lateralbrachial n medial

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24
Q

Location of split from the radial nerve where does the cutaneous sensor and posterior interosseous go

A

The PIN splits laterally and cutaneous sensor splits medially

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25
Image of the PIN
Note bony landmark
26
Image of PIN and compression at radial head what is this called
Radial tunnel syndrome and anterior forearm pain
27
Image of the Ulnar Nerve What is the gap you must do
Probe position in SAX on the Olecranon process and Medial epicondlyle Sometime you do not see the starry night of the ulnar nerve secondary to the medial triceps the reslin is the retinaculum
28
Ulnar nerve subluxation over
medial epicondyle but also in sever cases the medial tricep can also sublux
29
What is cubital tunnel syndrome
Ulnar ner entrapment 3 cm distal from the ulnar grove as the never passes under the roof of the cubital tunnel. The roof is a membrane called Osbornes fascia or osbornes ligament
30
Image of mechanism of ulnar nerve entrapment or compression
remember osbornes fascia ligament with flexion
31
Eval nerve proximal to ulnar grove
Look for stenotic dilation of ulnar nerve
32
What is the Struthers ligament?
located 8 cm proximal to ulnar grove and can cause ulnar nerve entrapment
33
Where is the bicipito radial bursa and how large is it
distal bicep tendon and radial tuberosity 2.4 to 3.9 cm
34
Image of bicipito radial bursa
a serous bursa
35
Why a biciptal complete tear may not retract from the radial tuberosity
Bicipital aponeurosis aka lacertus fibrosus
36
Image of a subcutaneous Olecranon bursa
Not visible with normal bursa
37
What are 5 causes of bursitis at the elbow
Trauma infection gout ra oa
38
What does the word enthesis mean
insertion of tendons and tendon attachments
39
Image of tendon footprint
Unirom linear anechoic footprint
40
What does enthesitis mean
insertional pathology and infammation at insertion.
41
What is the difference between enthesophyte and osteophyte
growing into the bone
42
What is the greek word for Psoriasis
Itch look for enthesophytes
43
Image of common extensor tear
distinct fiber interruption
44
The UCL is referred to what is on the exam Joint space opening of what is a partial thickness tear and greater than what is a full thickness tear
medial collateral ligament
45
What is the insertion of the UCL
Sublime tubercle of Ulna
46
What are the lanmarks for the triceps tendon
Humeral trochhlea and distal ulnar olecranon
47
Image of fx to coronoid process
CP on the ulna
48
Image erosion at the annular head of the radius
Idnetify erosions
49
Image of erosions at capitellum
both are humeral landmarks
50
Image of fluid at recess
annular and coronoid recess or fossa
51
Image of olecranon recess
check for fluid
52
What is cat scratch fever
evaluate joint recesses for synovial hypertrophy enlargement of lymph nodes cause I 5 types of infection
53
What is RA nodules at the elbow
firm under skin and close to joints affected by RA
54
Loose bodies in the elbow joint what are they
cartilage or cartilage and bone resulting from any process that leads to disruption of the articular surface
55
Images of loose bodies in elbow joint
Presence of loose bodies in elbow joint
56
Image of loose bodies in the medial and lateral recess
Humer Ulnar joint and radio capitellar joint
57
What is Panners Disease
Osteochondrosis of the capitellum
58
Tophaceous deposits at the elbow mimic what
Olecranon bursal effusion with observation
59
Image of double contour sign
Not along the cartilage interface
60
Image of Lymph Nodes and Lipoma What is one difference
Wee defined border
61
Image of a Schwannoma
Often hypoechoic with posterior acoustic enhancement