Elbow Instability

Question 1

one source of elbow instability

Answer 1

ulnar (medial) collateral ligament sprain

Question 2

what are UCL sprain usually d/t

Answer 2

chronic valgus and ER forces

Question 3

what causes chronic valgus and ER forces

Answer 3

overhead throwing

tennis serve

volleyball

baseball

Question 4

if the UCL sprain is traumatic

Answer 4

FOOSH

injury consisting of tensile loading into valgus &/or ER

Question 5

where does the UCL lie

Answer 5

medial epicondyle to coronoid process and olecranon

Question 6

UCL is the

Answer 6

primary restraint to valgus force

Question 7

when is the UCL taught

Answer 7

through entire ROM

Question 8

where is the main restraint –> UCL

Answer 8

at 90 degrees of elbow flexion

Question 9

UCL provides resistance to

Answer 9

valgus stress

Question 10

chief complaint –> elbow instability

Answer 10

pain

Question 11

pain –> elbow instability

Answer 11

medial elbow

lateral elbow

distally

Question 12

medial elbow –> pain –> elbow instability

Answer 12

~ 2 cm distal to epicondyle

stresses lax ligament

Question 13

lateral elbow –> pain –> elbow instability

Answer 13

compression of H/U joint

Question 14

distally –> pain –> elbow instability

Answer 14

ulnar nerve irritation

Question 15

history –> elbow instability

Answer 15

macrotrauma

microtrauma

Question 16

macrotrauma –> history –> elbow instability

Answer 16

FOOSH

Question 17

microtrauma–> history –> elbow instability

Answer 17

repetitive valgus force

throwing athletes

Question 18

asymmetries –> elbow instability

Answer 18

increased carrying angle

tenderness to palpation

Question 19

R –> elbow instability

Answer 19

elbow

shoulder

Question 20

elbow –> R –> elbow instability

Answer 20

PROM and AROM = WNL

RROM = pain free and strong

arthrokinematics = excessive lateral tilt of ulna

Question 21

shoulder –> R –> elbow instability

Answer 21

assess ER and IR

GIRD

Question 22

T –> elbow instability

Answer 22

play

tone

strength

length

Question 23

play –> T –> elbow instability

Answer 23

WNL

Question 24

tone –> T –> elbow instability

Answer 24

WNL

may be increased –> muscles crossing medial elbow

Question 25

strength --> T --> elbow instability

Answer 25

WNL assess shoulder

Question 26

length --> T --> elbow instability

Answer 26

WNL

Question 27

S --> elbow instability

Answer 27

varus/valgus stress tests tinels sign neurodynamics lateral and medial epicondylitis resisted and stretch tests

Question 28

conservative management

Answer 28

pt education PRICE ROM flexibility strengthening throwing mechanics throwing frequency

Question 29

ROM --> conservative management

Answer 29

esp extension

Question 30

flexibility -> conservative management

Answer 30

flexor/pronator mass

Question 31

strengthening -> conservative management

Answer 31

dynamic stabilizers eccentrics

Question 32

dynamic stabilizers -> conservative management

Answer 32

shoulder scapulothoracic

Question 33

eccentrics -> conservative management

Answer 33

wrist flexors forearm pronators

Question 34

throwing mechanics-> conservative management

Answer 34

LE's