OSCE_Elbow ROM

Question 1

What are general observations for elbow?

Answer 1

 Deformity, atrophy, redness, swelling, scars, attitude of pt, pt willingness to move, slings,
contractures, nodules

 Carrying angle (Normal around 5-10° male and 10-15° female)

Question 2

How do you assess swelling in the elbow?

Answer 2

 Measure the circumference around med & lat epicondyle

 Measurements above and below can be charted (just as was done for the knee)

Question 3

How do you assess ROM flexion?

Answer 3

Pt supine, F/A in supination (palm up)

Flexion
Action: Ask the patient to bend (flexion) their elbow.

OP (place gonio first, then push in OP):
- stabilization at the humerus
- OP under the wrist

PROM
- same as OP

Gonio:
- Center: Lat epicondyle of elbow
- Stablizing: along the humerus
- Moveable: Along the radius

Question 4

What are the expected values for elbow flexion?

Answer 4

150

Question 5

How do you assess ROM extension?

Answer 5

Pt supine, F/A in supination (palm up)

Flexion
Action: Ask the patient to extend their elbow.

OP (place gonio first, then push in OP):
- stabilization at the humerus
- OP under the wrist

PROM
- same as OP

Gonio:
- Center: Lat epicondyle of elbow
- Stablizing: along the humerus
- Moveable: Along the radius

Question 6

What values do you expect for elbow extension?

Answer 6

0

*If the patient cannot achieve full elbow extension (0°), chart the measure
as a negativ

Question 7

How do you assess forearm ROM for pronation and supination?

Answer 7

Pt Sitting, elbow bent to 90°, F/A mid pron/sup holding a pen

Pronation
- Action: Ask the patient to turn the pen inward
“Turn your palm down to the floor”

watch for compensation

OP:
- with pt’s elbow close to the body, OP at distal radial-ulna (just under the wrist).

PROM
- Same

Gonio:
- Center = 3rd MCP

• Stabilizing arm: perpendicular to the plinth (points toward the floor)
• Moveable arm: In line w/ 2nd MCP. The pen is a reference (parallel)

*Supination is the same, but you turn on the other side: “Turn the palm of the hand up to the ceiling”

Question 8

What are expected values for ROM forearm pronation-supination?

Answer 8

80-90 degrees