MSK: lecture

Question 1

Pt with lateral elbow pain could mean

Answer 1

lateral elbow tendinopathy

RCL sprain (posterolateral elbow instability)

Question 2

lateral elbow tendinopathy vs RCL sprain subjective findings

Answer 2

tendinopathy: pain with active wrist extension and supination, gripping tasks or end range stretch

RCL: axial compression + ER + valgus force at elbow, can be iatrogenic from lateral tendinopathy debridemen

Question 3

medial elbow tendinopathy vs UCL sprain

Answer 3

tendinopathy: medial elbow pain with active wrist flexion and pronation; gripping tasks or end range stretch

UCL sprain: medial elbow pain with valgus stress, may have ulnar paresthesias, sharp pain at HU joint line, decrease grip strength

Question 4

patient has medial elbow pain what could it be

Answer 4

medial tendinopathy

UCL sprain

Question 5

how to treat tendinopathy

Answer 5

decrease inflammation (activity modifications)

joint mobs

progressive resistive exercises

gradual return to function

Question 6

pt presents with signficant loss of elbow ROM in more than 1 direction

pain may limit ROM

Answer 6

elbow stiffness

Question 7

elbow stiffness treatment

Answer 7

joint mobs
LLD stretches
dynamic splints as needed

Question 8

UCL sprain treatment

Answer 8

bracing 3 wks

avoid ER stretching and IR strengthening

restore full painfree UE ROM and strength

gradually return to prior level of activity

Question 9

RCL sprain treatment

Answer 9

avoid provocative positions

bracing 4-6 wks

strengthen primary restraints (biceps, brachialis, triceps)

chronic cases -> surgery reconstruction

Question 10

UCL sprain prognosis

Answer 10

3-5 months return to activity timeline

may progress to surgical reconstruction if symptoms continue

Question 11

elbow instability what are the 5 item classification systems?

Answer 11

timing (acute, chronic, recurrent)

articulations involved (1,2,3 joints)

direction of displacement (valgus,varus, anterior, posterolateral)

degree of displacement (sublux/dislocation)

prescence or absence of associated fractures